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Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
Published on: November 12, 2021
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Inguinal hernia TAPP repair using Senhance® robotic platform: first multicenter report from the TRUST registry
N E Samalavicius1,2,3, A Dulskas4,5, A Sirvys6
1Department of Surgery, Klaipeda University Hospital, 41 Liepojos Str, 92288, Klaipeda, Lithuania.
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|September 30, 2021
Summary
Robotic transabdominal preperitoneal (TAPP) inguinal hernia repair is a safe and feasible procedure. This study found low complication rates and good recovery times, supporting its use in clinical practice.
Area of Science:
- Minimally Invasive Surgery
- Surgical Robotics
- Hernia Repair
Background:
- Inguinal hernias are common surgical conditions.
- Traditional surgical repair methods have established outcomes.
- Advancements in robotic surgery offer potential benefits for complex procedures.
Purpose of the Study:
- To evaluate the feasibility and safety of robotic transabdominal preperitoneal (TAPP) inguinal hernia repair.
- To assess key outcomes including complication rates, operative time, and patient recovery.
Main Methods:
- A retrospective analysis of 271 robotic TAPP inguinal hernia repairs.
- Data collected from March 2017 to March 2020 across four centers.
- Utilized the Senhance® robotic platform and the TRUST registry for data collection.
Main Results:
- Low complication rates: 1.85% intraoperative and 1.85% postoperative.
- Mean operative time was 74 minutes.
- Average pain score was 3/10, with a mean hospital stay of 39 hours and recovery time of 9.65 days.
Conclusions:
- Robotic TAPP inguinal hernia repair demonstrates promising feasibility and safety.
- The procedure is associated with low complication rates and efficient patient recovery.
- Further cost-effectiveness analyses are recommended to compare robotic TAPP with alternative techniques.

