Robotic-assisted approach for complex inguinal hernias

Abstract

Laparoscopic inguinal hernia repair was introduced in the early nineties as a minimally invasive alternative to the classic Lichtenstein repair. Over the decades, minimally invasive approaches have demonstrated both postoperative benefits and easy replicability. Robotic inguinal hernia repair has been shown as a safe alternative to laparoscopic repair. Furthermore, due to technical difficulties, complex inguinal hernia repairs (scrotal hernias, incarcerated hernias, recurrent hernias, mesh removal, and previous pelvic surgery) are a relative contraindication for laparoscopic repairs. In this article, we highlight the advantages of the robotic approach for complex cases of inguinal hernia.

Implementation of robotic hernia surgery using the Versius® system

“…Both techniques are equivalent in terms of outcomes, and choice is therefore left up to the individual surgeon's discretion [5]. Complex inguino-scrotal or recurrent hernias are often considered unsuitable for laparoscopic repair, but it has been suggested that the precise dissection facilitated by robotic surgery may make it possible for these patients to also benefit from the advantages of minimally invasive surgery [8].…”