Robotic hernia surgery : Part  I: Robotic inguinal hernia repair (r‑TAPP). Video report and results of a series of 302 hernia operations

Chirurg. 2021 Jun 29. doi: 10.1007/s00104-021-01446-1. Online ahead of print.ABSTRACTThe treatment of inguinal hernias with open and minimally invasive procedures has reached a high standard in terms of outcome over the past 30 years. However, there is still need for further improvement, mainly in terms of reduction of postoperative seroma, chronic pain, and recurrence. This video article presents the endoscopic anatomy of the groin with regard to robotic transabdominal preperitoneal patch plasty (r‑TAPP) and illustrates the surgical steps of r‑TAPP with respective video sequences. The results of a cohort study of 302 consecutive hernias operated by r‑TAPP are presented and discussed in light of the added value of the robotic technique, including advantages for surgical training. r‑TAPP is the natural evolution of conventional TAPP and has the potential to become a new standard as equipment availability increases and material costs decrease. Future studies will also have to refine the multifaceted added value of r‑TAPP with new parameters.PMID:34185126 | DOI:10.1007/s00104-021-01446-1
Source: Der Chirurg - Category: Surgery Authors: Source Type: research

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Source: Asian Journal of Surgery - Category: Surgery Authors: Source Type: research
Ann R Coll Surg Engl. 2021 Sep;103(8):569-575. doi: 10.1308/rcsann.2020.7105.ABSTRACTINTRODUCTION: Chronic postsurgical pain (CPP) remains the main complication after Lichtenstein hernioplasty. The open new simplified totally extraperitoneal (ONSTEP) technique is a more recent transinguinal procedure that seems to be associated with less CPP. The aim of this study was to compare outcomes of the ONSTEP versus the Lichtenstein procedure for primary inguinal hernia.METHODS: In this prospective, double-blinded and single-centre clinical trial, CPP at the six-month follow up assessed by a visual analogue scale was the primary e...
Source: Annals of the Royal College of Surgeons of England - Category: Surgery Authors: Source Type: research
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Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - Category: Surgery Authors: Source Type: research
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Source: Annals of Medicine - Category: Internal Medicine Authors: Source Type: research
Umbilical hernias constitute some of the most common surgical diseases addressed by surgeons. Endoscopic techniques have become standard of care together with the conventional open techniques for the treatment of umbilical hernias. Several different approaches were described to achieve laparoscopic sublay repair. We prospectively collected and reviewed the medical records of 10 patients with umbilical hernias underwent total endoscopic sublay repair (TES) at our institution from November 2017 to November 2019. All operations were performed by a same surgical team. The demographics, intraoperative details, and postoperat...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Quality Improvement Study Source Type: research
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