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Robotic TAPP inguinal hernia repair: lessons learned from 97 cases
Andre Luiz Gioia Morrell1,2,3,4,5,6, Alexander Charles Morrell Junior1,2,3,4,6, Jose Mauricio Freitas Mendes2,3,5
1- Instituto Morrell, Cirurgia Robótica e Minimamente Invasiva do Aparelho Digestivo - São Paulo - SP - Brasil.
Revista Do Colegio Brasileiro De Cirurgioes
|February 3, 2021
Summary
Robotic transabdominal preperitoneal (TAPP) inguinal hernia repair is safe and effective, offering low complication and recurrence rates. This Brazilian study of 97 cases shows good outcomes and high quality of life.
Area of Science:
- Minimally invasive surgery
- Surgical robotics
- Hernia repair
Background:
- Minimally invasive inguinal hernia repair offers advantages over open surgery, including reduced pain and faster recovery.
- Robotic surgery enhances minimally invasive procedures with improved ergonomics, 3D visualization, and articulating instruments.
Purpose of the Study:
- To report the outcomes of the initial experience with robotic transabdominal preperitoneal (TAPP) inguinal hernia repairs.
- To evaluate the feasibility, safety, and efficacy of robotic TAPP inguinal hernia repair in a Brazilian surgical group.
Main Methods:
- A prospective database review of 97 patients undergoing robotic TAPP inguinal hernia repair from March 2016 to February 2020.
- Descriptive statistics were used to analyze surgical outcomes and patient follow-up data.
Main Results:
- The mean patient age was 36.4 years, with a median BMI of 26.9 kg/m2.
- Mean console time was 58 minutes, with most patients discharged within 24 hours.
- All procedures utilized mesh, with no conversions to open surgery, low-grade complications, and no recurrences observed during a mean follow-up of 642 days.
Conclusions:
- This study presents the first Brazilian case series of robotic TAPP inguinal hernia repair.
- Robotic-assisted TAPP inguinal hernia repair is technically feasible and safe in experienced hands.
- The procedure demonstrates good short- and long-term outcomes, including high quality of life and low recurrence rates.
