Sérgio Roll, MD1, Paulo Henrique Fogaça Barros, MD1, Iron Pires Abreu, MD1, Bruno de Lucia Hernani, MD1, Pedro Henrique de Freitas Amaral, MD1, Tiago Diniz2, Rodrigo Altenfelder Silva, MD1. 1Oswaldo Cruz German Hospital. 2Santa Casa de São Paulo
INTRODUCTION – The goal of this study was expose our initial experience with robotic approach in recurrent inguinal hernias that had been previously operated laparoscopically. Robot-assisted surgery in general surgery is still a developing strategy, however, it has been rapidly expanded. There is expectation that robotic assistence could be specially useful in cases of groin hernia relapse after either transabdominal preperitoneal or extraperitoneal laparoscopic approach.
METHODS AND PROCEDURES – We conducted a retrospective analysis of the 15 procedures performed by the same surgical team between July 2015 and September 2016 using Da Vinci SI® system. The parameters analyzed were gender, age, body mass index, type of hernia, surgical time and hospital stay.
RESULTS – We performed 15 robot-assisted inguinal hernia repairs, 6 of those being cases of relapse after transabdominal preperitoneal laparoscopic technique: 2 bilateral and 4 unilateral.
All the patients were male, with a median age of 65 years of age (min 42 yo; max 72 yo), the mean body mass index was 27,15 ± 7,80 Kg/m². The average procedure time was 125,33 ± 30,21 minutes. The average hospital stay was 1 day, but 2 patients were discharged after 12 hours of the procedure. There were no postoperative complications during hospital stay.
CONCLUSIONS – Robot assistance is safe and may improve outcomes of relapsed minimally invasive inguinal hernia repairs but should be reserved for endoscopically experienced surgeons. In this single-center observational case series, we found a significant reduction in the number of complications in the robot-assisted redo inguinal hernia, also hospital stay was shorter and in some cases day hospital stay, while patients reported a similar symptomatic outcome. We found the procedure significantly easier for a medial recurrence compared with a lateral recurrence.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79640
Program Number: P041
Presentation Session: Poster (Non CME)
Presentation Type: Poster