Robotic Inguinal Hernia Repair.

CONCLUSIONS: Robotic inguinal hernia repair is safe and effective. 1) Proper training, including simulators and proctors, is necessary; 2) having the same operating room team and an interested first assistant at the OR table is very helpful; 3) the learning curve is about 50 patients; 4) postoperative narcotics are rarely more than three hydrocodone pills; 4) no fixation of the mesh is necessary, but fibrin sealant was used routinely in these patients; and 5) urinary retention is the most common postoperative issue and is best planned for by knowing the patients urinary history, use of peripheral alpha-blockers, and straight catheterization in the OR at the conclusion of the surgery. OR time was longer than standard laparoscopic herniorrhaphy but decreased with experience. The robotic technique allowed for an excellent view of the myopectineal orifice and appears to have a low complication rate. PMID: 32432334 [PubMed - as supplied by publisher]
Source: Surgical Technology International - Category: Surgery Tags: Surg Technol Int Source Type: research