Bilateral Inguinal Hernia Repair: Robotic TAPP Versus Laparoscopic TEP

Area of Science:

• Minimally Invasive Surgery
• Surgical Oncology
• Hernia Repair

Background:

• Minimally invasive techniques offer advantages in general surgery.
• Laparoscopic total extraperitoneal (LTEP) and robotic transabdominal preperitoneal (RTAPP) repairs are preferred for bilateral inguinal hernias.
• Evaluating early/midterm outcomes of LTEP vs. RTAPP for bilateral inguinal hernia is crucial.

Purpose of the Study:

• To compare the early/midterm outcomes and complications of LTEP and RTAPP for bilateral inguinal hernia repair.
• To assess the efficacy and safety of robotic versus laparoscopic approaches in this patient cohort.
• To provide data for clinical decision-making in hernia repair techniques.

Main Methods:

• Retrospective analysis of 49 patients undergoing bilateral inguinal hernia repair (33 LTEP, 16 RTAPP).
• Data collected on demographics, comorbidities, operative time, hospital stay, pain scores, complications, and costs.
• Univariate analysis to compare outcomes between LTEP and RTAPP groups.

Main Results:

• No significant differences in demographics or ASA scores between groups.
• RTAPP had longer operative times but significantly lower complication rates and mean pain scores.
• No recurrence in either group; RTAPP incurred higher total hospital costs.

Conclusions:

• RTAPP demonstrates superior outcomes regarding general complications and postoperative pain compared to LTEP.
• Robotic surgery (RTAPP) is a safe and effective option for bilateral inguinal hernia repair.
• Further research may explore cost-effectiveness and long-term outcomes.