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Published in: Hernia 4/2022

30-09-2021 | Inguinal Hernia | Original Article

Inguinal hernia TAPP repair using Senhance® robotic platform: first multicenter report from the TRUST registry

Authors: N. E. Samalavicius, A. Dulskas, A. Sirvys, V. Klimasauskiene, V. Janusonis, T. Janusonis, V. Eismontas, O. Deduchovas, D. Stephan, I. Darwich, C. Poth, F. Schilcher, Y. Slabadzin, M. Kukharchuk, F. Willeke, L. Staib

Published in: Hernia | Issue 4/2022

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Abstract

Purpose

The purpose of this article was to provide feasibility and safety results of robotic transabdominal preperitoneal inguinal hernia repair (Robotic TAPP).

Methods

We included 271 cases of robotic inguinal hernia TAPP repair using the Senhance® robotic platform from four different centers between March 2017 and March 2020. Key data points were intraoperative and postoperative complication rate, operating time, length of hospital stay, postoperative pain score and time required to get back to a daily routine that were inserted in the TransEnterix European Patient Registry for Robotic assisted Laparoscopic Procedures in Urology, Abdominal Surgery, Thoracic and Gynecologic Surgery (TRUST).

Results

We report 203 cases of unilateral and 68 cases of bilateral inguinal hernia repairs. Mean operative time was 74 ± 35 min (range 32–265 min), postoperative complications occurred in five (1.85%) cases, the intraoperative complication rate was five (1.85%). The average subjective patient-related pain score after the procedure was 3 ± 1.9 (range 1–9), length of hospital stay was 39 ± 28 h (range 4–288 h), and recovery time was 9.65 ± 8 days (range 1–36 days).

Conclusion

Robotic inguinal hernia TAPP repair shows inspiring results. It is a safe and doable procedure. However, cost analysis should be performed in future to show the superiority over other techniques.
Literature
1.
go back to reference Bassini E (1887) Sulla cura radicale dell ernie. Arch Soc It Chir 4:380 Bassini E (1887) Sulla cura radicale dell ernie. Arch Soc It Chir 4:380
2.
go back to reference Ger R (1982) The management of certain abdominal hernia by intra-abdominal closure of the neck of the sac. Preliminary communication. Ann R Coll Surg Engl 64:342–344PubMedPubMedCentral Ger R (1982) The management of certain abdominal hernia by intra-abdominal closure of the neck of the sac. Preliminary communication. Ann R Coll Surg Engl 64:342–344PubMedPubMedCentral
3.
go back to reference Kingsnorth A, LeBlanc K (2003) Hernias: inguinal and incisional. Lancet 362:1561–1571CrossRef Kingsnorth A, LeBlanc K (2003) Hernias: inguinal and incisional. Lancet 362:1561–1571CrossRef
4.
go back to reference The HerniaSurge Group (2018) International guideliness for groin hernia management. Hernia 22:1–165CrossRef The HerniaSurge Group (2018) International guideliness for groin hernia management. Hernia 22:1–165CrossRef
5.
go back to reference Cugura JF, Kirac I, Kulis T, Jankovic J, Beslin MB (2008) First case of single incision laparoscopic surgery for totally extraperitoneal inguinal hernia repair. Acta Clin Croat 47:249–252PubMed Cugura JF, Kirac I, Kulis T, Jankovic J, Beslin MB (2008) First case of single incision laparoscopic surgery for totally extraperitoneal inguinal hernia repair. Acta Clin Croat 47:249–252PubMed
6.
go back to reference MacDonald ER, Ahmed I (2010) „Scarless“ laparoscopic TAPP inguinal hernia repair using single port. Surgeon 8:179–181CrossRef MacDonald ER, Ahmed I (2010) „Scarless“ laparoscopic TAPP inguinal hernia repair using single port. Surgeon 8:179–181CrossRef
7.
go back to reference Perivoliotis K, Tzovaras G, Sarakatsianou C, Baloyiannis I (2019) Current status of single-port versus multi-port apptoach in laparoscopic inguinal hernia mesh repair: an up-to-date systematic review and meta-analysis. Hernia 23(2):217–233CrossRef Perivoliotis K, Tzovaras G, Sarakatsianou C, Baloyiannis I (2019) Current status of single-port versus multi-port apptoach in laparoscopic inguinal hernia mesh repair: an up-to-date systematic review and meta-analysis. Hernia 23(2):217–233CrossRef
8.
go back to reference Podolsky D, Novitsky Y (2020) Robotic inguinal hernia reapair. Surg Clin N Am 100(2):409–415CrossRef Podolsky D, Novitsky Y (2020) Robotic inguinal hernia reapair. Surg Clin N Am 100(2):409–415CrossRef
9.
go back to reference Aiolfi A, Cavalli M, Micheletto G, Bruni PG, Lombardo F, Perali C, Bonitta G, Bona G (2019) Robotic inguinal hernia repair: is technology taking over? Systematic review and meta-analysis. Hernia 23:509–519CrossRef Aiolfi A, Cavalli M, Micheletto G, Bruni PG, Lombardo F, Perali C, Bonitta G, Bona G (2019) Robotic inguinal hernia repair: is technology taking over? Systematic review and meta-analysis. Hernia 23:509–519CrossRef
10.
go back to reference Stark M, Pomati S, D’Ambrosio A, Giraudi F, Gidaro S (2015) A new telesurgical platform – preliminary clinical results. Minim Invasive Ther Allied Technol 24:31–36CrossRef Stark M, Pomati S, D’Ambrosio A, Giraudi F, Gidaro S (2015) A new telesurgical platform – preliminary clinical results. Minim Invasive Ther Allied Technol 24:31–36CrossRef
11.
go back to reference Stephan D, Sälzer H, Willeke F (2018) First experiences with the new Senhance® telerobotic system in visceral surgery. Visc Med 34(1):31–36CrossRef Stephan D, Sälzer H, Willeke F (2018) First experiences with the new Senhance® telerobotic system in visceral surgery. Visc Med 34(1):31–36CrossRef
12.
go back to reference Schmitz R, Willeke F, Barr J, Scheidt M, Saelzer H, Darwich I, Zani S, Stephan D (2019) Robotic inguinal hernia repair (TAPP): first experience with the new Senhance robotic system. Surg Technol Int 34:243–249PubMed Schmitz R, Willeke F, Barr J, Scheidt M, Saelzer H, Darwich I, Zani S, Stephan D (2019) Robotic inguinal hernia repair (TAPP): first experience with the new Senhance robotic system. Surg Technol Int 34:243–249PubMed
13.
go back to reference Samalavicius NE, Janusonis V, Siaulys R, Jasėnas M, Deduchovas O, Venckus R, Ezerskiene V, Paskeviciute R, Klimaviciute G (2020) Robotic surgery using Senhance® robotic platform: single center experience with first 100 cases. J Robot Surg 14(2):371–376CrossRef Samalavicius NE, Janusonis V, Siaulys R, Jasėnas M, Deduchovas O, Venckus R, Ezerskiene V, Paskeviciute R, Klimaviciute G (2020) Robotic surgery using Senhance® robotic platform: single center experience with first 100 cases. J Robot Surg 14(2):371–376CrossRef
14.
go back to reference Gidaro S, Buscarini M, Ruiz E, Stark M, Labruzzo A (2012) Telelap Alf-X: a novel telesurgical system for the 21st century. Surg Technol Int 22:20–25PubMed Gidaro S, Buscarini M, Ruiz E, Stark M, Labruzzo A (2012) Telelap Alf-X: a novel telesurgical system for the 21st century. Surg Technol Int 22:20–25PubMed
15.
go back to reference Koppatz HE, Harju JI, Sirén JE, Mentula PJ, Scheinin TM, Sallinen VJ (2020) Three-dimensional versus two-dimensional high-definition laparoscopy in transabdominal preperitoneal inguinal hernia repair: a prospective randomized controlled study. Surg Endosc 34(11):4857–4865CrossRef Koppatz HE, Harju JI, Sirén JE, Mentula PJ, Scheinin TM, Sallinen VJ (2020) Three-dimensional versus two-dimensional high-definition laparoscopy in transabdominal preperitoneal inguinal hernia repair: a prospective randomized controlled study. Surg Endosc 34(11):4857–4865CrossRef
16.
go back to reference Zayan NE, Meara MP, Swartz JS, Narula VK (2019) A direct comparison of robotic and laparoscopic hernia repair: patient-related outcomes and cost analysis. Hernia 23(6):1115–1121CrossRef Zayan NE, Meara MP, Swartz JS, Narula VK (2019) A direct comparison of robotic and laparoscopic hernia repair: patient-related outcomes and cost analysis. Hernia 23(6):1115–1121CrossRef
17.
go back to reference Khoraki J, Gomez PP, Mazzini GS, Pessoa BM, Browning MG, Aquilina GR, Salluzo JL, Wolfe LG, Campos GM (2020) Perioperative outcomes and cost of robotic-assisted versus laparoscopic inguinal hernia reapair. Surg Endosc 34(8):3496–3507CrossRef Khoraki J, Gomez PP, Mazzini GS, Pessoa BM, Browning MG, Aquilina GR, Salluzo JL, Wolfe LG, Campos GM (2020) Perioperative outcomes and cost of robotic-assisted versus laparoscopic inguinal hernia reapair. Surg Endosc 34(8):3496–3507CrossRef
18.
go back to reference Waite KE, Herman MA, Doyle PJ (2016) Comparison of robotic versus laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair. J Robot Surg 10(3):239–244CrossRef Waite KE, Herman MA, Doyle PJ (2016) Comparison of robotic versus laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair. J Robot Surg 10(3):239–244CrossRef
19.
go back to reference Escobar Dominguez JE, Ramos MG, Seetharamaiah R, Donkor C, Rabaza J, Gonzalez A (2016) Feasibility of robotic inguinal hernia repair, a single-institution experience. Surg Endosc 30(9):4042–4048CrossRef Escobar Dominguez JE, Ramos MG, Seetharamaiah R, Donkor C, Rabaza J, Gonzalez A (2016) Feasibility of robotic inguinal hernia repair, a single-institution experience. Surg Endosc 30(9):4042–4048CrossRef
20.
go back to reference Aiolfi A, Cavalli M, Micheletto G, Lombardo F, Bonitta G, Morlacchi A et al (2019) Primary inguinal hernia: systematic review and Bayesian network meta-analysis comparing open, laparoscopic transabdominal preperitoneal, totally extraperitoneal, and robotic preperitoneal repair. Hernia J Hernias Abdom Wall Surg 23(3):473–484CrossRef Aiolfi A, Cavalli M, Micheletto G, Lombardo F, Bonitta G, Morlacchi A et al (2019) Primary inguinal hernia: systematic review and Bayesian network meta-analysis comparing open, laparoscopic transabdominal preperitoneal, totally extraperitoneal, and robotic preperitoneal repair. Hernia J Hernias Abdom Wall Surg 23(3):473–484CrossRef
21.
go back to reference Jacob DA, Hacki JA, Bittner R, Kraft B, Kockerling F (2015) Perioperative outcome of unilateral versus bilateral inguinal hernia repairs in TAPP technique: analysis of 15,176 cases from Herniamed Registry. Surg Endosc 29:3733–3740CrossRef Jacob DA, Hacki JA, Bittner R, Kraft B, Kockerling F (2015) Perioperative outcome of unilateral versus bilateral inguinal hernia repairs in TAPP technique: analysis of 15,176 cases from Herniamed Registry. Surg Endosc 29:3733–3740CrossRef
22.
go back to reference Bittner R, Schwarz J (2019) Primary unilateral not complicated inguinal hernia: our choice of TAPP, why, results and review of literature. Hernia J Hernias Abdom Wall Surg 23(3):417–428CrossRef Bittner R, Schwarz J (2019) Primary unilateral not complicated inguinal hernia: our choice of TAPP, why, results and review of literature. Hernia J Hernias Abdom Wall Surg 23(3):417–428CrossRef
Metadata
Title
Inguinal hernia TAPP repair using Senhance® robotic platform: first multicenter report from the TRUST registry
Authors
N. E. Samalavicius
A. Dulskas
A. Sirvys
V. Klimasauskiene
V. Janusonis
T. Janusonis
V. Eismontas
O. Deduchovas
D. Stephan
I. Darwich
C. Poth
F. Schilcher
Y. Slabadzin
M. Kukharchuk
F. Willeke
L. Staib
Publication date
30-09-2021
Publisher
Springer Paris
Keyword
Inguinal Hernia
Published in
Hernia / Issue 4/2022
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-021-02510-9

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