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Vol. 99. Issue 9.
Pages 629-634 (November 2021)
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Vol. 99. Issue 9.
Pages 629-634 (November 2021)
Special article
ROBotic Utility for Surgical Treatment of hernias (ROBUST hernia project)
Utilidad robótica para el tratamiento quirúrgico de hernias (proyecto ROBUST hernia)
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Filip Muysomsa,
Corresponding author
filip.muysoms@azmmsj.be

Corresponding author.
, Femke Nachtergaelea, Pieter Pletinckxa, Maxime Dewulfa,b
a Department of Surgery, Maria Middelares Ghent, Belgium
b Department of Hepatobiliary Surgery, Maastricht UMC+, The Netherlands
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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.

Keywords:
Laparoscopic surgery
Robotic surgery
Hernia repair
Abdominal wall surgery
Resumen

Describimos la evolución de nuestra práctica en el abordaje quirúrgico de la hernia durante los primeros 3 años, después de la adopción de la cirugía laparoscópica asistida por robot. Respecto a la reparación de las hernias inguinales, comenzamos usando la plataforma robótica para hernias complejas y el uso del abordaje abierto disminuyó del 17 al 6%. Para las hernias ventrales primarias, los procedimientos abiertos disminuyeron del 59 al 10% y para las hernias incisionales del 48 al 11%. Además, se produjo un cambio importante en el posicionamiento de la malla para las hernias ventrales con un aumento de la posición retromuscular del 20 al 82% y una disminución de la posición intraperitoneal del 48 al 10%.

La plataforma robótica parece tener un potencial significativo para las hernias inguinales complejas, además de para las hernias ventrales e incisionales que requieren una separación de componentes. Una estancia hospitalaria corta y menos complicaciones postoperatorias pueden hacer que la adopción de la plataforma robótica para la cirugía de la pared abdominal sea una propuesta valiosa.

Palabras clave:
Cirugía laparoscópica
Cirugía robótica
Reparación de hernia
Cirugía de la pared abdominal

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