Robin Schmitz1, Frank Willeke2, Justin Barr1, Michael Scheidt2, Heike Saelzer2, Ibrahim Darwich2, Sabino Zani1, Dietmar Stephan3. 1. Department of Surgery, Duke University Medical Center, Durham, North Carolina. 2. Department of General, Visceral and Vascular Surgery, Section Minimal Invasive Surgery and Robotics, St. Marien - Krankenhaus, Siegen, Germany. 3. Gastroenterological Surgery, Saitama Medical University, International Medical Center, Yamane, Japan, Department of General, Visceral and Vascular Surgery, Section Minimal Invasive Surgery and Robotics, St. Marien - Krankenhaus, Siegen, Germany.
Abstract
INTRODUCTION: This retrospective study was performed to evaluate the safety and feasibility of the new Senhance Robotic System (TransEnterix Inc., Morrisville, North Carolina) for inguinal hernia repairs using the transabdominal preperitoneal approach. MATERIALS AND METHODS: From March to September 2017, 76 inguinal hernia repairs in 64 patients were performed using the Senhance Robotic System. Patients were between 18 and 90 years of age, eligible for a laparoscopic procedure with general anesthesia, had no life-threatening disease with a life expectancy of less than 12 months, and a body mass index (BMI) < 35. A retrospective chart review was performed for a variety of pre-, peri-, and postoperative data including, but not limited to, patient demographics, hernia characteristics, and intraoperative and postoperative complications. RESULTS: Fifty-four male and 10 female patients were included in the study. Median age was 56.5 years (range 22-86 years), and median BMI was 25.9 kg/m2 (range 19.5-31.8 kg/m2). Median docking time was seven minutes (range 2-21 minutes), and median operative time was 48 minutes (range 18-142 minutes). Two cases were converted to standard laparoscopic surgery due to robot malfunction and abdominal wall bleeding, respectively. Median length of stay was one day. CONCLUSION: We report the first series of laparoscopic inguinal hernia repairs using the new Senhance Robotic System. Compared to conventional laparoscopic transabdominal preperitoneal (TAPP) hernia repairs, there was no significant difference in operative time or perioperative complications. Additionally, there was no significant learning curve detected due to its intuitive applicability. Therefore, the Senhance Robotic System promises broad applicability across a range of laparoscopic general surgical operations.
INTRODUCTION: This retrospective study was performed to evaluate the safety and feasibility of the new Senhance Robotic System (TransEnterix Inc., Morrisville, North Carolina) for inguinal hernia repairs using the transabdominal preperitoneal approach. MATERIALS AND METHODS: From March to September 2017, 76 inguinal hernia repairs in 64 patients were performed using the Senhance Robotic System. Patients were between 18 and 90 years of age, eligible for a laparoscopic procedure with general anesthesia, had no life-threatening disease with a life expectancy of less than 12 months, and a body mass index (BMI) < 35. A retrospective chart review was performed for a variety of pre-, peri-, and postoperative data including, but not limited to, patient demographics, hernia characteristics, and intraoperative and postoperative complications. RESULTS: Fifty-four male and 10 female patients were included in the study. Median age was 56.5 years (range 22-86 years), and median BMI was 25.9 kg/m2 (range 19.5-31.8 kg/m2). Median docking time was seven minutes (range 2-21 minutes), and median operative time was 48 minutes (range 18-142 minutes). Two cases were converted to standard laparoscopic surgery due to robot malfunction and abdominal wall bleeding, respectively. Median length of stay was one day. CONCLUSION: We report the first series of laparoscopic inguinal hernia repairs using the new Senhance Robotic System. Compared to conventional laparoscopic transabdominal preperitoneal (TAPP) hernia repairs, there was no significant difference in operative time or perioperative complications. Additionally, there was no significant learning curve detected due to its intuitive applicability. Therefore, the Senhance Robotic System promises broad applicability across a range of laparoscopic general surgical operations.
Authors: N E Samalavicius; A Dulskas; A Sirvys; V Klimasauskiene; V Janusonis; T Janusonis; V Eismontas; O Deduchovas; D Stephan; I Darwich; C Poth; F Schilcher; Y Slabadzin; M Kukharchuk; F Willeke; L Staib Journal: Hernia Date: 2021-09-30 Impact factor: 2.920
Authors: Jessica Stockheim; Mihailo Andric; Sara Acciuffi; Sara Al-Madhi; Mirhasan Rahimli; Maximilian Dölling; Gernot Geginat; Aristotelis Perrakis; Roland S Croner Journal: Chirurgie (Heidelb) Date: 2022-07-12
Authors: Juergen Holzer; Peter Beyer; Florian Schilcher; Clemens Poth; Dietmar Stephan; Christian von Schnakenburg; Wim van Gemert; Ludger Staib Journal: Children (Basel) Date: 2022-02-22