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Resultados de la Prótesis Umbilical Retromuscular Transabdominal Asistida por Robot (rTARUP): Un Estudio
Julotte E Baart1, Didi A M Sloothaak2, Maarten P Simons3
1Department of Surgery, Reinier de Graaf Hospital, Delft, Netherlands.
Aim:
Robotic assisted Trans Abdominal Retromuscular Umbilical Prosthesis (rTARUP) is being increasingly performed to treat Ventral Hernia. Prospective (long-term) studies are scarce. In this study we investigated 125 patients with short and long-term follow-up, regarding surgical and hernia-related quality-of-life outcomes.
Material And Methods:
Patients undergoing rTARUP were selected from consecutive prospectively collected databases from two teaching hospitals from the Netherlands. The patients were operated by experienced surgeons in a standardized manner. Patient characteristics and short-term outcomes after surgery were retrospectively reviewed and follow up data about hernia recurrence and quality of life was prospectively collected.
Results:
125 rTARUP patients were included for analysis. The most common hernia type was primary (n = 61), followed by recurrent (n = 37) and incisional (n = 27). The median surgical time was 90 min. 44/61 (72%) patients with a primary ventral hernia were treated as daycase. The 30-day complication rate was 7.2%. Median follow up was 24 months after which a large majority of patients (84%) reported to feel better or much better. There were 3 reoperations for recurrences (2.4%).
Conclusion:
rTARUP is a safe and effective procedure that can be performed in a timely manner, with short hospital stay and a low complication rate. Further research is needed into economical costs and benefits to fully justify the use of robotic surgery for these indications.
