Abstract
We describe the evolution in hernia repair approaches in our practice during the first 3 years of adopting robotic assisted laparoscopic surgery. For inguinal hernia repair, we began using the robotic platform for complex hernias, and the use of open repair decreased from 17% to 6%. For primary ventral hernias, open procedures decreased from 59% to 10% and for incisional ventral hernias, from 48% to 11%. Moreover, a large shift in mesh position for ventral hernias was seen, with an increase of the retromuscular position from 20% to 82% and a decrease of intraperitoneal mesh position from 48% to 10%. The robotic platform seems to hold a significant potential for complex inguinal hernias, in addition to ventral and incisional hernias which require component separation. A shorter hospital stay and less postoperative complications might make the adoption of the robotic platform for abdominal wall surgery a valuable proposition.
| Translated title of the contribution | ROBotic Utility for Surgical Treatment of hernias (ROBUST hernia project) |
|---|---|
| Original language | Spanish |
| Pages (from-to) | 629-634 |
| Number of pages | 6 |
| Journal | Cirugia Espanola |
| Volume | 99 |
| Issue number | 9 |
| DOIs | |
| Publication status | Published - 1 Nov 2021 |
Keywords
- Abdominal wall surgery
- Cirugía de la pared abdominal
- Cirugía laparoscópica
- Cirugía robótica
- Hernia repair
- Laparoscopic surgery
- Reparación de hernia
- Robotic surgery
- Hernia, Ventral/surgery
- Herniorrhaphy
- Humans
- Incisional Hernia/surgery
- Robotic Surgical Procedures/adverse effects
- Surgical Mesh