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Laparoscopic TAPP to treat inguinal hernia. Is the robot preferable?
Another fascinating look at how some surgeons see the chronic pain problem. This group is suggesting that the use of robotics will lead to an improvement. Implying that the hand skills of the typical laparoscopy surgeon are deficient somehow. But the material and its placement are not involved in the problem. The mesh and its placement will be magically different somehow with robotics assistance. Same mesh materials, different ways to implant it.
They also state firmly that chronic pain and recurrence rates are ~ 10% and 3.5 %, respectively.
It’s just an abstract but it is “state-of-the-art”.
https://www.sciencedirect.com/science/article/abs/pii/S0009739X23000155
Laparoscopic TAPP to treat inguinal hernia. Is the robot preferable? A review and cohort-study on anatomical landmarks of robotic-assisted transabdominal preperitoneal groin hernia repair (r-TAPP)
Christos Andreou, Sladjana Maksimovic, Cristiana Riboni, Lukas Eisner, Omar Yusef Kudsi, Ulrich A. Dietz
“Abstract
In this review, the advantages of the robotic platform in rTAPP are presented and discussed. Against the background of the unchanged results of conventional TAPP for decades (approx. 10% chronic pain and approx. 3.5% recurrence),…
Future studies are needed to integrate all the resources of the robotic platform into an rTAPP concept that will lead out of the stalemate of the indisputably high rate of chronic pain and recurrences. … “
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1 Reply
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Robotic removal is definitely better for mesh removal than just laparoscopic. Even for the initial hernia repair also. Alot if surgeons try to learn the robot bit just can’t get the hang of it. I remember someone telling me that years back Ramshaw Said can’t teach and old dog new tricks. He was full of it anyways removing mesh admitting it does cause pain then got into a lawsuit and said it’s all in our heads lol so ass backwards. Dr. Janzyck in Royal oak Michigan did the most robotic surgeries out of any surgeon in the US in 2016 where I got my bilateral 3dmax garbage with 2 huge tacks removed and the genital branch on both sides from nerve damage by his parter Dr. Iacco. He’s a pioneer of the robot and his partner also.
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