Management of hernial orifices in robotic inguinal hernia repair

Abstract

The development of a postoperative seroma after endoscopic transabdominal (TAPP) or extraperitoneal (TEP) groin repair is a frequent problem. Although seromas are usually only mildly symptomatic, the swelling that develops postoperatively often causes patients to feel insecure and worried. In the literature some technical approaches to reduce the incidence of postoperative seroma are described. This technical note deals with the authors’ approach in the management of large medial and lateral hernial orifices during robotic r-TAPP procedures using DaVinci Xi technology with the aim of seroma prophylaxis.

Keywords

Inguinal hernia / robotic surgery / hernial orifices / seroma / barbed suture / TISSEEL / fibrin sealant

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