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| Name | Robotic TAPP Inguinal Hernia Repair: A Technological Evolution in Hernia Surgery |
| Video Uploader | Video From Dr. R. K. Mishra |
| Upload Date | This Video Uploaded At 08-03-2025 12:30:37 |
| Video Discription | The landscape of inguinal hernia repair has undergone a revolutionary transformation with the advent of robotic-assisted techniques. At WALS 2025, Dr. Abhilash K delivered an insightful session on Robotic Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair, highlighting the precision, enhanced ergonomics, and improved outcomes offered by robotic platforms. The Evolution of Inguinal Hernia Repair Traditionally, open hernia repair techniques dominated surgical practice, gradually giving way to laparoscopic approaches, which significantly reduced postoperative pain and recovery time. Among laparoscopic techniques, TAPP and Totally Extraperitoneal (TEP) repairs emerged as gold standards. However, robotic-assisted surgery has further refined these procedures by enhancing dexterity, visualization, and control. Why Robotic TAPP? Robotic TAPP offers distinct advantages over conventional laparoscopic techniques, including: • Superior 3D Visualization: The robotic platform provides a magnified, high-definition 3D view, allowing for meticulous dissection and identification of anatomical landmarks. • Enhanced Instrumentation: Wristed robotic instruments enable finer movements, facilitating precise dissection and mesh placement, particularly in challenging cases. • Reduced Surgeon Fatigue: The ergonomically designed robotic console reduces physical strain on the surgeon, allowing for better concentration and control. • Improved Mesh Placement and Fixation: The robotic system aids in achieving optimal mesh positioning with minimal risk of migration or recurrence. Technical Steps of Robotic TAPP 1. Port Placement: Typically, a supraumbilical camera port is used, accompanied by two working ports. 2. Peritoneal Incision: The peritoneum is incised to access the preperitoneal space. 3. Hernia Sac Reduction: The robotic instruments allow delicate dissection of the sac from the spermatic cord and surrounding structures. 4. Mesh Placement: A synthetic mesh is precisely placed to reinforce the myopectineal orifice. 5. Peritoneal Closure: The peritoneum is closed using sutures or a stapling device to prevent mesh exposure to intra-abdominal contents. Outcomes and Future Perspectives Studies have demonstrated that robotic TAPP results in lower recurrence rates, reduced postoperative pain, and shorter hospital stays compared to conventional techniques. With increasing surgeon experience and the development of cost-effective robotic platforms, this approach is poised to become the new standard for complex inguinal hernia repairs. Dr. Abhilash K’s presentation at WALS 2025 underscored the growing role of robotics in hernia surgery. As robotic technology continues to advance, minimally invasive surgery is set to redefine patient care, ensuring superior outcomes with minimal morbidity. |
| Category | Education |
| Tags | Robotic TAPP | Inguinal Hernia Repair | Minimally Invasive Surgery | Laparoscopic Hernia Repair | Robotic Surgery | Hernia Mesh Placement | Surgical Robotics | 3D Visualization | Enhanced Dexterity | Surgeon Ergonomics | WALS 2025 | Dr. Abhilash K | Preperitoneal Dissection | Peritoneal Closure | Advanced Hernia Repair | Hernia Surgery Innovation | Reduced Recurrence Rate | Faster Recovery | Mesh Fixation | Robotic-Assisted Surgery |
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