P-009 OPEN VS LAPAROSCOPIC VS ROBOT-ASSISTED INGUINAL HERNIA REPAIR: A CASE SERIES. (13th October 2022)

• Record Type: Journal Article
• Authors: Valsamidis, A; Allah Alnabhan, A; Nielsen, K A; Pedersen, A K; Helligsø, P; Mogensen, C B; Nielsen, M F
• Is Part Of: British journal of surgery. Volume 109(2022)Supplement 7
• Publication Date: 2022-10-13
• Subjects: Surgery -- Periodicals; 617.005
• DOI: 10.1093/bjs/znac308.109
• Languages: English
• ISSNs: 0007-1323

Abstract

Abstract: Aim: Minimally invasive inguinal hernia repair is thought to be associated with fewer complications. To address this hypothesis, we compared short- and long-term complications in patients undergoing elective open (Lichtenstein), laparoscopic (TAPP) and robot-assisted inguinal hernia repair (rTAPP). Material & Methods: Patients undergoing either, Lichtenstein, TAPP or rTAPP at our institution between January 1 st 2017 and December 30 th 2019 were retrospectively identified. Short (haematoma, seroma, surgical-site infections) and long-term complications (chronic pain, recurrence) were recorded and compared between groups. Results: 636 patients were included in the study. 370 were treated with Lichtenstein, 125 TAPP and 141 with rTAPP. There was a significant overweight of men in all groups (p < 0, 001). Among the rTAPP group, the overall rate of complications was reduced (open: 10.0%; laparoscopic: 8.8%; robot-assisted 5.7%) while the presence of chronic pain was slightly more prevalent (Lichtenstein: 1.6%; TAPP: 1.6%; rTAPP: 2.1%). The rate of recurrence was lower following rTAPP (Lichtenstein: 3.8%; TAPP: 2.4%; rTAPP: 1.4%). Same day discharged was more likely following the open technique (open: 88.9%; laparoscopic: 78.4%; robot-assisted 78.7%). Nevertheless, these results were not statistically significant (p>0.05). Conclusions: The present case series demonstrates a comparable rate of short and long-term complications following open and minimally invasive inguinal hernia repair. The trend towards a lower overall complications rate and recurrence rate, though not statistically significant, implies that minimally invasive surgery might be associated with a lower complication and recurrence rate. However, a larger prospective study design with a longer follow-up is needed to test this hypothesis.