Robotic assisted extended view totally extraperitoneal repair for inguinal hernia

Iqbal Singh; Akshita Sharma; Rajeev Kapoor; Rudra Prasad Doley; Jai Dev Wig

doi:10.18203/2349-2902.isj20242135

Authors

Iqbal Singh Department of Surgery, Fortis Hospital, Mohali, Punjab, India
Akshita Sharma Department of Surgery, Fortis Hospital, Mohali, Punjab, India
Rajeev Kapoor Department of Surgery, Fortis Hospital, Mohali, Punjab, India
Rudra Prasad Doley Department of Surgery, Fortis Hospital, Mohali, Punjab, India
Jai Dev Wig Department of Surgery, Fortis Hospital, Mohali, Punjab, India

DOI:

https://doi.org/10.18203/2349-2902.isj20242135

Keywords:

Robotic, Inguinal hernia, R e-TEP

Abstract

Robotic assisted transabdominal pre-peritoneal inguinal hernia repair is an effective and safe approach. This report describes a new technique of robotic extended view totally extraperitoneal repair. A supraumbilical retro rectus approach, creation of pre-peritoneal space, separation of hernia sac from cord structures, placement of mesh and fixing with vicryl suture was employed in a 58-year gentleman with right inguinal hernia. The surgery was performed with the use of a DaVinci robotic system. No intraoperative problems were encountered. The patient was discharged within 24 hours of surgical intervention. The work has been reported in line with the SCARE criteria. The patient had no groin pain, inguinal or scrotal swelling at 30 day follow up. He was pleased with the cosmetic result and has gone back to work. Robotic e-TEP is a viable option in inguinal hernia repair.

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References

Agha RA, Franchi T, Sohrab C, Mathew G, Kirwan A, Thomas A, et al. The SCARE 2020 guideline: updating consensus Surgical Case Report (SCARE) guidelines. Int J Surg. 2020;84(1):226-30

Daes J. The extended view totally extraperitoneal (e-TEP) technique for inguinal hernia repair. In: Hernia Surgery. YW Novitsky (Ed). Springer International Publishing Switzerland. 2016.

Ferzli G, Iskandar M. Laparoscopically totally extraperitoneal (TEP) inguinal hernia repair. Ann Laparosc Endosc Surg. 2019;4:35.

Pan Z, Zhang M, Wang L. Efficacy of laparoscopic totally extraperitoneal repair for inguinal hernia. Disease Markers. 2022;2970257.

Choi YS, Kim KD, Choi MS, Yoon SH, Jin WY, Yun-Mee C. Initial experience with Robot assisted transabdominal preperitoneal (TAPP) inguinal hernia repair by a single surgeon in South Korea. Medicina. 2023;59(3):582.

Yoo R N, Mun Y, Cho H-M, Kye B-H. One-year experience of robotic transabdominal preperitoneal approach in a single institute; 2 different surgeons with different levels of experience. Ann Surg Treat Res. 2023;104(3):176-81.

Saito T, Fukami Y, Komatsu S, Kenitiro K, Tsuyoshi S. How to establish the bipolar forceps dissection method in robotic inguinal hernia repair. Ann Gastroenterol Surg. 2022;6(3):454-9.

Saito T, Fukami Y, Uchino T, Shintaro K, Tatsuki M, Takaaki O, et al. Preliminary results of robotic inguinal hernia repair following its introduction in a single centre trial. Ann Gastroenterol Surg. 2020;4(4):441-7.

Reinhorn M, Fullington N, Agarwal D, Olson MA, Ott L, Canavan A, et al. Posterior mesh inguinal hernia repairs: a propensity score matched analysis of laparoscopic and robotic versus open approaches. Hernia. 2023;27(1):93-104.

Cao C, Shi X, Jin W, Luan F. Clinical data analysis for treatment of adult inguinal hernia by TAPP or TEP. Frontiers Surg. 2022;9:900843.

Daes J. The enhanced view-totally extraperitoneal technique for repair of inguinal hernia. Surg Endosc Other Interv Tech. 2012;26:1187-9.