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01-10-2020 | Laparoscopy | Original Article

Robotic-assisted single site (RASS) TAPP: an advantageous choice?

Outcomes of single site robotic groin hernia repair

Authors: D. Cuccurullo, L. Guerriero, P. Favoriti, G. Mazzoni, C. Sagnelli, E. Tartaglia

Published in: Hernia | Issue 5/2020

Abstract

Purpose

Laparoscopic transabdominal preperitoneal (TAPP) is a valid option for bilateral primary groin hernia and recurrent cases. Robotic approach for inguinal hernia is still debated. The aim of this study is to investigate the potential role of robotic-assisted single site-TAPP (RASS-TAPP) reporting our experience.

Methods

We performed 44 RASS TAPP in 32 patients from February 2016 to July 2018. Data on patient demographics, type of hernia, operative time, complications, recurrence rate and hospital stay were retrospectively analyzed. Follow-up was scheduled at 1 week, 4 months and 1 year after surgery.

Results

Forty-two hernias were treated in 32 patients (27 M). Mean age was 48.6 years (range 20–67), mean BMI was 26.49 kg/m² (range 16–34.9). Mean operative time was 54.8 min (range 28–150). In two cases (6%) a conversion to laparoscopy was necessary. At 1 week, two scrotal hematomas and four seromas were observed and treated conservatively. At 4 months follow-up, one patient (3.1%) complained temporary pain. No patient had inguinal recurrence or incisional umbilical hernia and chronic pain at 1-year follow-up.

Conclusion

RASS TAPP is feasible and safe with a high patient satisfaction. However, the surgeon experiences a technical discomfort due to the conflict of the instrumentation which influences negatively the choice of this approach, despite the better vision and augmented dexterity provided by the robot.

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Title: Robotic-assisted single site (RASS) TAPP: an advantageous choice?
Outcomes of single site robotic groin hernia repair
Authors: D. Cuccurullo
L. Guerriero
P. Favoriti
G. Mazzoni
C. Sagnelli
E. Tartaglia
Publication date: 01-10-2020
Publisher: Springer Paris
Keywords: Laparoscopy
Inguinal Hernia
Published in: Hernia / Issue 5/2020
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-020-02274-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Robotic-assisted single site (RASS) TAPP: an advantageous choice?

Outcomes of single site robotic groin hernia repair

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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