Andre Luiz Gioia Morrell1,2,3,4,5,6, Alexander Charles Morrell Junior1,2,3,4,6, Jose Mauricio Freitas Mendes2,3,5, Allan Gioia Morrell1,3,4,6, Alexander Morrell1,2,3,4,5,6. 1. - Instituto Morrell, Cirurgia Robótica e Minimamente Invasiva do Aparelho Digestivo - São Paulo - SP - Brasil. 2. - Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein, Cirurgia Geral e Aparelho Digestivo Minimamente Invasiva e Robótica - São Paulo - SP - Brasil. 3. - Rede D'Or Hospital São Luiz, Cirurgia Robótica e Minimamente Invasiva do Aparelho Digestivo - São Paulo - SP - Brasil. 4. - Vila Nova Star - Rede D'Or Hospital São Luiz, Cirurgia Robótica e Minimamente Invasiva do Aparelho Digestivo - São Paulo - SP - Brasil. 5. - Hospital Alemão Oswaldo Cruz, Cirurgia Geral e do Aparelho Digestivo Minimamente Invasiva e Robótica - São Paulo - SP - Brasil. 6. - Grupo Leforte, Cirurgia Robótica e Minimamente Invasiva do Aparelho Digestivo - São Paulo - SP - Brasil.
Abstract
OBJECTIVES: minimally invasive inguinal hernia repair has proven advantages over open procedures including less pain and earlier return to normal activity. Robotic surgery adds ergonomics, a three-dimensional high definition camera and articulating instruments overcoming some laparoscopic limitations. We aimed to report the outcomes of the early experience of over 97 robotic inguinal hernia repairs performed by a referred surgical group in Brazil. METHODS: a review of a prospective mantined database was conducted in patients submitted to robotic transabdominal preperitoneal (TAPP) inguinal hernia repairs between March 2016 and February 2020. Descriptive statistics were performed. Surgical outcomes data and patient follow-ups are reported. RESULTS: retrospective chart review identified 97 patients submitted to robotic TAPP inguinal hernia repair. Mean age was 36.4 years, with median BMI of 26.9 kg/m2. Mean console time was 58 min (range 40-150) and patients were discharged within 24 hours of their stay in a majority of cases. Mesh was placed in all procedures and there were no conversion rates. Complications were low grade and no recurrence was seen after a mean follow-up of 642 days. CONCLUSION: this study represents to-date the first brazilian case series of robotic TAPP inguinal hernia repair. Our results encourage that robotic assisted TAPP inguinal hernia repair appears to be technically feasible and safe in experienced hands, with good outcomes achieving high health-related quality of life and low recurrence rates in the short and long term.
OBJECTIVES: minimally invasive inguinal hernia repair has proven advantages over open procedures including less pain and earlier return to normal activity. Robotic surgery adds ergonomics, a three-dimensional high definition camera and articulating instruments overcoming some laparoscopic limitations. We aimed to report the outcomes of the early experience of over 97 robotic inguinal hernia repairs performed by a referred surgical group in Brazil. METHODS: a review of a prospective mantined database was conducted in patients submitted to robotic transabdominal preperitoneal (TAPP) inguinal hernia repairs between March 2016 and February 2020. Descriptive statistics were performed. Surgical outcomes data and patient follow-ups are reported. RESULTS: retrospective chart review identified 97 patients submitted to robotic TAPP inguinal hernia repair. Mean age was 36.4 years, with median BMI of 26.9 kg/m2. Mean console time was 58 min (range 40-150) and patients were discharged within 24 hours of their stay in a majority of cases. Mesh was placed in all procedures and there were no conversion rates. Complications were low grade and no recurrence was seen after a mean follow-up of 642 days. CONCLUSION: this study represents to-date the first brazilian case series of robotic TAPP inguinal hernia repair. Our results encourage that robotic assisted TAPP inguinal hernia repair appears to be technically feasible and safe in experienced hands, with good outcomes achieving high health-related quality of life and low recurrence rates in the short and long term.
Authors: Sebastiano Spampatti; Davide La Regina; Ramon Pini; Francesco Mongelli; Paolo Gaffuri; Iride Porcellini; Andrea Romanzi; Maria Marcantonio Journal: Langenbecks Arch Surg Date: 2022-05-18 Impact factor: 2.895