Laparoscopic or robot assisted surgery without a mesh?
If you want a laparoscopic surgery, then you get a mesh. If you want robot assisted surgery, you get a?… mesh! If you want open surgery! Then you can get it with or without a mesh.
Are there any surgeons that offer laparoscopic or robot assisted surgery without the use of a mesh? What’s the problem of doing a key hole surgery without a mesh?
I imagine that robot assistance would allow for such surgery, after seeing the demo videos of systems like da Vinci where they demonstrate peeling off the skin of a grape. But I guess the real world use of such a system is much more restricted. A hernia is simply not a grape that you can peel the inner layers off of, push the intestine back in and suture everything back together. The real benefit of a robotic system is that it makes the operation easier for the surgeon, compared to traditional laparoscopy.
So robot assisted Shouldice or Desarda is a fantasy?…
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