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Robotic TAPP inguinal hernia repair: lessons learned from 97 cases

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 limitation...

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Autores principales: MORRELL, ANDRE LUIZ GIOIA, MORRELL, ALEXANDER CHARLES, MENDES, JOSE MAURICIO FREITAS, MORRELL, ALLAN GIOIA, MORRELL, ALEXANDER
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Colégio Brasileiro de Cirurgiões 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10683431/
https://www.ncbi.nlm.nih.gov/pubmed/33533825
http://dx.doi.org/10.1590/0100-6991e-20202704
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author MORRELL, ANDRE LUIZ GIOIA
MORRELL, ALEXANDER CHARLES
MENDES, JOSE MAURICIO FREITAS
MORRELL, ALLAN GIOIA
MORRELL, ALEXANDER
author_facet MORRELL, ANDRE LUIZ GIOIA
MORRELL, ALEXANDER CHARLES
MENDES, JOSE MAURICIO FREITAS
MORRELL, ALLAN GIOIA
MORRELL, ALEXANDER
author_sort MORRELL, ANDRE LUIZ GIOIA
collection PubMed
description 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/m(2). 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.
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spelling pubmed-106834312023-11-30 Robotic TAPP inguinal hernia repair: lessons learned from 97 cases MORRELL, ANDRE LUIZ GIOIA MORRELL, ALEXANDER CHARLES MENDES, JOSE MAURICIO FREITAS MORRELL, ALLAN GIOIA MORRELL, ALEXANDER Rev Col Bras Cir Original Article 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/m(2). 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. Colégio Brasileiro de Cirurgiões 2021-01-26 /pmc/articles/PMC10683431/ /pubmed/33533825 http://dx.doi.org/10.1590/0100-6991e-20202704 Text en © 2021 Revista do Colégio Brasileiro de Cirurgiões https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Article
MORRELL, ANDRE LUIZ GIOIA
MORRELL, ALEXANDER CHARLES
MENDES, JOSE MAURICIO FREITAS
MORRELL, ALLAN GIOIA
MORRELL, ALEXANDER
Robotic TAPP inguinal hernia repair: lessons learned from 97 cases
title Robotic TAPP inguinal hernia repair: lessons learned from 97 cases
title_full Robotic TAPP inguinal hernia repair: lessons learned from 97 cases
title_fullStr Robotic TAPP inguinal hernia repair: lessons learned from 97 cases
title_full_unstemmed Robotic TAPP inguinal hernia repair: lessons learned from 97 cases
title_short Robotic TAPP inguinal hernia repair: lessons learned from 97 cases
title_sort robotic tapp inguinal hernia repair: lessons learned from 97 cases
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10683431/
https://www.ncbi.nlm.nih.gov/pubmed/33533825
http://dx.doi.org/10.1590/0100-6991e-20202704
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