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Updated: Aug 12, 2025

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

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Published on: December 23, 2022

Robotic Inguinal Hernia Repair - Update 2022 during the SARS-COVID-19 Pandemic.

David S Edelman¹

¹Doctors Hospital, Baptist Health South Florida, Coral Gables, FL, USA.

Surgical Technology International

|February 1, 2023

Summary

Robotic inguinal hernia repair is safe and effective, with low complication rates and operating times under an hour. This approach offers benefits like reduced pain and no need for routine catheterization, even during the COVID-19 pandemic.

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Robotic Inguinal Hernia Repair.

The American surgeon·2018

Area of Science:

Minimally Invasive Surgery
Surgical Technology
Gastrointestinal Surgery

Background:

Inguinal hernia repair is a common general surgery procedure.
Robotic repair offers high-definition visualization and articulating instruments, potentially reducing pain.
While effective, robotic repair has historically been associated with higher costs.

Purpose of the Study:

To provide an updated series of robotic, trans-abdominal pre-peritoneal (TAPP) inguinal hernia repairs.
To focus on outcomes during the SARS COVID-19 pandemic (past 3 years).
To review recent literature on robotic inguinal hernia repair.

Main Methods:

Prospective review of hospital records and follow-up care for 158 robotic TAPP inguinal hernia repairs (April 2020-November 2022).

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Data collected included patient demographics, comorbidities, and operative time.

Follow-up assessments were conducted at 2 and 6 weeks post-surgery.

Main Results:

The study included 158 patients, 94% male, with an average age of 64.3 years.
Mean operative time was 51.8 minutes, with all procedures completed in under an hour.
Complications were infrequent, with urinary retention occurring in 2.5% of patients, not requiring pre- or intra-operative Foley catheterization.

Conclusions:

Robotic inguinal hernia repair is safe and effective, utilizing lower insufflation pressures and structural mesh.
Satisfactory results were achieved without routine mesh fixation, using fibrin sealant instead.
The technique allows for consistently short operative times and infrequent urinary retention, supporting its continued use.