The tack technique for robotic ventral mesh rectopexy: An useful, safe and effective trick using the Hugo RAS™ system

Area of Science:

• Minimally Invasive Surgery
• Surgical Technology
• Gastrointestinal Surgery

Background:

• Robotic ventral rectopexy is a complex procedure requiring secure mesh fixation.
• Current mesh fixation methods may have limitations in robotic surgery.
• Standardized techniques are crucial for reproducible outcomes.

Purpose of the Study:

• To describe a novel, standardized technique for mesh fixation during robotic ventral rectopexy.
• To highlight the use of a helical tack device with the Hugo RAS™ system.
• To emphasize the preservation of critical anatomical structures.

Main Methods:

• A standardized technique for mesh fixation using a helical tack device is described.
• The procedure is performed using the Hugo RAS™ robotic system.
• Emphasis is placed on preserving the hypogastric nerves and sacral foramina.

Main Results:

• The technique provides tactile feedback and ensures precise mesh positioning.
• It offers advantages over conventional robotic suturing, including reduced operative time.
• The Hugo RAS™ system's configuration facilitates safe and rapid tack deployment.

Conclusions:

• This helical tack fixation technique for robotic ventral rectopexy is novel and has not been previously reported.
• The described method is safe, effective, and reproducible in the robotic setting.
• This innovative approach offers a valuable option for mesh fixation in robotic ventral rectopexy.