Description of Robotically Assisted Single-site Transabdominal Preperitoneal (RASS-TAPP) Inguinal Hernia Repair and Presentation of Clinical Outcomes

Overview

Journal Hernia

Publisher Springer

Date 2014 Sep 25

PMID 25249251

Citations 15

Authors

C Engan

M Engan

V Bonilla

D C Dyer

B R Randall

Affiliations

Soon will be listed here.

Abstract

Background: The aim of our study is to report our initial clinical experience with robotically assisted single-site transabdominal preperitoneal (RASS-TAPP) hernia repair, to verify the safety and efficacy of the procedure and to describe the surgical procedure.

Methods: We retrospectively reviewed all patients undergoing RASS-TAPP at our institution from March 2013 through December 2013. Data regarding patient demographics, type and location of hernia, operative time and clinical outcomes were collected and analyzed.

Results: Fourty five hernias were repaired in 34 patients (30M, 4F) by a single surgeon. The mean age was 49.3 years and mean BMI was 26.5. 31 lateral defects, 13 medial defects and 1 femoral defect were repaired. Three patients presented with recurrent hernias and nine had bilateral defects. The mean operative time for all cases was 80.5 min and for all unilateral hernias 69 min. Considering just the unilateral hernias without any additional procedures, operative time was 63 min. The mean follow-up time was 5.5 months. There has been one superficial surgical site infection, but no observed clinical recurrence or neuralgia to date.

Conclusion: Robotically assisted single-site transabdominal preperitoneal hernia repair is safe and effective. The absence of clinical evidence of recurrence or neuralgia is encouraging and should promote further study.

Citing Articles

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References

Berney C, Yeo A . Mesh fixation with fibrin sealant during endoscopic totally extraperitoneal inguinal hernia approach: a review of 640 repairs. Hernia. 2013; 17(6):709-17. DOI: 10.1007/s10029-012-1034-y. View

Ferzli G, Rim S, Edwards E . Combined laparoscopic and open extraperitoneal approach to scrotal hernias. Hernia. 2012; 17(2):223-8. DOI: 10.1007/s10029-012-0970-x. View

Kehlet H, Roumen R, Reinpold W, Miserez M . Invited commentary: Persistent pain after inguinal hernia repair: what do we know and what do we need to know?. Hernia. 2013; 17(3):293-7. DOI: 10.1007/s10029-013-1109-4. View

Suwa K, Nakajima S, Hanyu K, Suzuki T, Okamoto T, Yanaga K . Modified Kugel herniorrhaphy using standardized dissection technique of the preperitoneal space: long-term operative outcome in consecutive 340 patients with inguinal hernia. Hernia. 2013; 17(6):699-707. DOI: 10.1007/s10029-013-1132-5. View

Myers E, Browne K, Kavanagh D, Hurley M . Laparoscopic (TEP) versus Lichtenstein inguinal hernia repair: a comparison of quality-of-life outcomes. World J Surg. 2010; 34(12):3059-64. DOI: 10.1007/s00268-010-0730-y. View

Frey D, Wildisen A, Hamel C, Zuber M, Oertli D, Metzger J . Randomized clinical trial of Lichtenstein's operation versus mesh plug for inguinal hernia repair. Br J Surg. 2006; 94(1):36-41. DOI: 10.1002/bjs.5580. View

Fuentes M, Goel R, Lee-Ong A, Cabrera E, Lawenko M, Lopez-Gutierrez J . Single-port endo-laparoscopic surgery (SPES) for totally extraperitoneal inguinal hernia: a critical appraisal of the chopstick repair. Hernia. 2012; 17(2):217-21. DOI: 10.1007/s10029-012-0968-4. View

Hope W, Bools L, Menon A, Scott 3rd C, Adams A, Hooks 3rd W . Comparing laparoscopic and open inguinal hernia repair in octogenarians. Hernia. 2012; 17(6):719-22. DOI: 10.1007/s10029-012-1013-3. View

van Ramshorst G, Klop B, Hop W, Israelsson L, Lange J . Closure of midline laparotomies by means of small stitches: practical aspects of a new technique. Surg Technol Int. 2013; 23:34-8. View

10.

Franneby U, Sandblom G, Nordin P, Nyren O, Gunnarsson U . Risk factors for long-term pain after hernia surgery. Ann Surg. 2006; 244(2):212-9. PMC: 1602172. DOI: 10.1097/01.sla.0000218081.53940.01. View

11.

Vironen J, Nieminen J, Eklund A, Paavolainen P . Randomized clinical trial of Lichtenstein patch or Prolene Hernia System for inguinal hernia repair. Br J Surg. 2005; 93(1):33-9. DOI: 10.1002/bjs.5235. View

12.

Eklund A, Montgomery A, Bergkvist L, Rudberg C . Chronic pain 5 years after randomized comparison of laparoscopic and Lichtenstein inguinal hernia repair. Br J Surg. 2010; 97(4):600-8. DOI: 10.1002/bjs.6904. View

13.

Filipi C, Fitzgibbons Jr R, Salerno G, Hart R . Laparoscopic herniorrhaphy. Surg Clin North Am. 1992; 72(5):1109-24. DOI: 10.1016/s0039-6109(16)45835-4. View

14.

Sajid M, Leaver C, Baig M, Sains P . Systematic review and meta-analysis of the use of lightweight versus heavyweight mesh in open inguinal hernia repair. Br J Surg. 2011; 99(1):29-37. DOI: 10.1002/bjs.7718. View

15.

Schultz L, Graber J, Pietrafitta J, Hickok D . Laser laparoscopic herniorraphy: a clinical trial preliminary results. J Laparoendosc Surg. 1990; 1(1):41-5. DOI: 10.1089/lps.1990.1.41. View

16.

Paajanen H, Varjo R . Ten-year audit of Lichtenstein hernioplasty under local anaesthesia performed by surgical residents. BMC Surg. 2010; 10:24. PMC: 2921348. DOI: 10.1186/1471-2482-10-24. View

17.

Corbitt Jr J . Laparoscopic herniorrhaphy. Surg Laparosc Endosc. 1991; 1(1):23-5. View

18.

Bittner R, Arregui M, Bisgaard T, Dudai M, Ferzli G, Fitzgibbons R . Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia [International Endohernia Society (IEHS)]. Surg Endosc. 2011; 25(9):2773-843. PMC: 3160575. DOI: 10.1007/s00464-011-1799-6. View

19.

Seker D, Oztuna D, Kulacoglu H, Genc Y, Akcil M . Mesh size in Lichtenstein repair: a systematic review and meta-analysis to determine the importance of mesh size. Hernia. 2012; 17(2):167-75. DOI: 10.1007/s10029-012-1018-y. View

20.

Simons M, Aufenacker T, Bay-Nielsen M, Bouillot J, Campanelli G, Conze J . European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009; 13(4):343-403. PMC: 2719730. DOI: 10.1007/s10029-009-0529-7. View