دورية أكاديمية
One surgeon's experience with r-TAPP: a retrospective analysis of 150 consecutive robotic inguinal hernia cases.
| العنوان: | One surgeon's experience with r-TAPP: a retrospective analysis of 150 consecutive robotic inguinal hernia cases. |
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| المؤلفون: | Florin JL; Mid-Florida Surgical Associates, Ocoee, USA., Bianchi V; University of Central Florida, College of Medicine, 2799 Valeria Rose Way, Ocoee, FL, 34761, USA. valbianchi16@gmail.com., Wiggan DD; University of Central Florida, College of Medicine, 2799 Valeria Rose Way, Ocoee, FL, 34761, USA. |
| المصدر: | Journal of robotic surgery [J Robot Surg] 2022 Oct; Vol. 16 (5), pp. 1151-1155. Date of Electronic Publication: 2022 Jan 08. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: England NLM ID: 101300401 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1863-2491 (Electronic) Linking ISSN: 18632483 NLM ISO Abbreviation: J Robot Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : Springer |
| مواضيع طبية MeSH: | Chronic Pain*/etiology , Chronic Pain*/surgery , Hernia, Inguinal*/surgery , Laparoscopy*/methods , Robotic Surgical Procedures*/methods , Surgeons*, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Herniorrhaphy/methods ; Humans ; Middle Aged ; Retrospective Studies ; Surgical Mesh ; Treatment Outcome ; Young Adult |
| مستخلص: | There is a tremendous paucity of literatures regarding the long-term surgical outcomes of the r-TAPP procedure for inguinal hernia repair. Additionally, much of the existing literatures regarding this procedure have limited follow-up of to 12 months. This article presents the outcomes of 150 consecutive r-TAPP inguinal hernia repairs performed on 111 patients using Progrip mesh without fixation, with up to 24 months of follow-up. The initial 150 consecutive r-TAPP inguinal hernia repairs were performed from February 2017 to April 2018 using Progrip without fixation. All patients were seen at 2 weeks, followed by phone follow-up at 6 months, 1 year, and 2 years. Of the 111 patients, 39 had bilateral hernias (35%) and 72 had unilateral hernias (65%). The age range was 18-93 years. The BMI range was 20.7-50.2, with a mean of 26.4 and median of 25.8. Total operative time ranged from 28 to 138 min with a mean of 62.4 min and median of 56 min. ASA classification ranged from 1 to 4, with a mean of 2.1. No significant blood loss was observed in any of the cases. There were no conversions to open surgery. All patients were discharged the same day of the operation. We were able to follow up with 100% of the hernias at 2 weeks, 88% at 6 months, 87% at 1 year, and 80% at 2 years. No recurrences were recorded at 2 weeks, 3 months, 6 months, 1 year, or 2 years. There were no reports of chronic pain up to 2 years in any of the patients. These results indicate that r-TAPP inguinal hernia repair using Progrip without further fixation is safe, effective, and can be performed with minimal recurrences or chronic pain. (© 2021. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Hernia repair; Hernia surgery; Inguinal hernia; Robotic hernia; r-TAPP |
| تواريخ الأحداث: | Date Created: 20220108 Date Completed: 20220913 Latest Revision: 20230313 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC9464149 |
| DOI: | 10.1007/s11701-021-01336-y |
| PMID: | 34997476 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1863-2491 |
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| DOI: | 10.1007/s11701-021-01336-y |