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. 2022 Oct;16(5):1151-1155.
doi: 10.1007/s11701-021-01336-y. Epub 2022 Jan 8.

One surgeon's experience with r-TAPP: a retrospective analysis of 150 consecutive robotic inguinal hernia cases

Jorge L Florin  1 , Valeria Bianchi  2 , Daniel D Wiggan  3
Affiliations

One surgeon's experience with r-TAPP: a retrospective analysis of 150 consecutive robotic inguinal hernia cases

Jorge L Florin et al. J Robot Surg. 2022 Oct.

Abstract

There is a tremendous paucity of literatures regarding the long-term surgical outcomes of the r-TAPP procedure for inguinal hernia repair. Additionally, much of the existing literatures regarding this procedure have limited follow-up of to 12 months. This article presents the outcomes of 150 consecutive r-TAPP inguinal hernia repairs performed on 111 patients using Progrip mesh without fixation, with up to 24 months of follow-up. The initial 150 consecutive r-TAPP inguinal hernia repairs were performed from February 2017 to April 2018 using Progrip without fixation. All patients were seen at 2 weeks, followed by phone follow-up at 6 months, 1 year, and 2 years. Of the 111 patients, 39 had bilateral hernias (35%) and 72 had unilateral hernias (65%). The age range was 18-93 years. The BMI range was 20.7-50.2, with a mean of 26.4 and median of 25.8. Total operative time ranged from 28 to 138 min with a mean of 62.4 min and median of 56 min. ASA classification ranged from 1 to 4, with a mean of 2.1. No significant blood loss was observed in any of the cases. There were no conversions to open surgery. All patients were discharged the same day of the operation. We were able to follow up with 100% of the hernias at 2 weeks, 88% at 6 months, 87% at 1 year, and 80% at 2 years. No recurrences were recorded at 2 weeks, 3 months, 6 months, 1 year, or 2 years. There were no reports of chronic pain up to 2 years in any of the patients. These results indicate that r-TAPP inguinal hernia repair using Progrip without further fixation is safe, effective, and can be performed with minimal recurrences or chronic pain.

Keywords: Hernia repair; Hernia surgery; Inguinal hernia; Robotic hernia; r-TAPP.

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Conflict of interest statement

Daniel D. Wiggan and Valeria Bianchi have declared no financial interests. Jorge L. Florin, MD, FACS has received the following: Payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing, or educational events from Medtronic. Consulting fees, payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing, or educational events, and support for attending meetings and/or travel from Intuitive Surgical.

References

    1. Gawande A. Two hundred years of surgery. N Engl J Med. 2012;366(18):1716–1723. doi: 10.1056/NEJMra1202392. - DOI - PubMed
    1. Kakiashvili E, Bez M, Abu Shakra I, Ganam S, Bickel A, Merei F, Almog R. Robotic inguinal hernia repair: Is it a new era in the management of inguinal hernia? Asian J Surg. 2021;44(1):93–98. doi: 10.1016/j.asjsur.2020.03.015. - DOI - PubMed
    1. Delaney CP, Netter FH. Netter's surgical anatomy and approaches. 1. Philadelphia: Elsevier; 2014. pp. 341–366.
    1. Pirolla EH, Patriota GP, Pirolla FJ, Ribeiro FP, Rodrigues MG, Ismail LR, Ruano RM. Inguinal repair via robotic assisted technique: literature review. Arq Bras De Cir Dig (São Paulo) 2018;31(4):93–98. - PMC - PubMed
    1. Tam V, Rogers DE, Al-Abbas A, Borrebach J, Dunn SA, Zureikat AH, Hogg ME. Robotic inguinal hernia repair: a large health system's experience with the first 300 cases and review of the literature. J Surg Res. 2019;235:98–104. doi: 10.1016/j.jss.2018.09.070. - DOI - PubMed