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First Robotic Inguinal Hernia Repair Using the Saroa Surgical System With Force Feedback
Toshiro Tanioka1, Keisuke Okuno1, Takashi Shigeno1
1Department of Gastrointestinal Surgery, Institute of Science Tokyo, Tokyo, Japan.
Asian Journal of Endoscopic Surgery
|July 29, 2025
Summary
The Saroa Surgical System, a novel robotic platform with force feedback, was successfully used for the first time in an inguinal hernia repair. This innovative robotic surgery demonstrated safety and feasibility, offering potential benefits for delicate tissue manipulation.
Area of Science:
- Minimally Invasive Surgery
- Surgical Robotics
- Hernia Repair
Background:
- Robotic surgery is increasingly adopted for inguinal hernia repair due to its established safety and efficacy.
- The Saroa Surgical System is a novel three-armed robotic platform developed with force feedback capabilities.
Observation:
- This report details the first clinical application of the Saroa Surgical System for an inguinal hernia repair in an 83-year-old male patient.
- The patient had a left inguinal hernia classified as L2 according to the European Hernia Society guidelines.
Findings:
- The inguinal hernia repair using the Saroa Surgical System was completed successfully following preoperative simulation.
- The procedure had an operative time of 127 minutes and console time of 108 minutes, with zero intraoperative blood loss.
- The patient experienced no postoperative complications and was discharged on postoperative day one.
Implications:
- The Saroa Surgical System demonstrates safety and feasibility for inguinal hernia repair.
- The integrated grasping force feedback may enhance delicate tissue handling during robotic surgery.
- This technology has the potential to reduce intraoperative organ damage in complex surgical procedures.
