Novel robot assisted laparoscopic total extra peritoneal repair with primary fascial closure plus pre peritonea mesh for large groin defects
Since the introduction of robot assisted laparoscopic surgery, a variety of conventional laparoscopic procedures have been explored via this approach. In the robotic era, most of the reported robot assisted laparoscopic hernia repairs were performed with the trans abdominal pre peritoneal approach. According to the evidence extrapolated from laparoscopic ventral hernia repair, simultaneous fascial defect closure and mesh repair can significantly decrease the risk of seroma formation and recurrence over those without fascial closure. Therefore, we describe our novel technique of robot assisted total extra peritoneal (TEP) repair with primary fascial closure and pre peritoneal mesh and its preliminary clinical outcomes.
The international journal of medical robotics computer assisted surgery MRCAS