robotic-assisted laparoscopic non-mesh hernia repairs?

Hernia Discussion Forums Hernia Discussion robotic-assisted laparoscopic non-mesh hernia repairs?

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    • #12152
      Alephy
      Participant

      [USER=”935″]drtowfigh[/USER] in which cases is this procedure used? indirect hernias only? with children?

    • #20840
      drtowfigh
      Keymaster

      Small inguinal hernias.

    • #20841
      Alephy
      Participant

      Also direct ones?

    • #20842
      Alephy
      Participant

      Does it mean that when the hernia is small can actually be repaired without a mesh? Why robotic and not laparoscopy if I may ask? They are so different?

    • #20844
      Alephy
      Participant

      And how small do they need to be?

    • #20848
      drtowfigh
      Keymaster

      Can sew more easily robotically.

      yes. Direct if they are small.

      these are nonscrotal hernis withiut significant bulging.

    • #20857
      JamesDoncaster
      Participant

      Do we have a partial list of doctors that perform this procedure? I have a small inguinal hernia that has not been repaired and causes some amount of pain dailyl. If I can get it sewn laparoscopically while it is small without any mesh, I would consider doing this. A previous small inguinal hernia (on the other side) was repaired with mesh and has caused me significant pain.

    • #20860
      drtowfigh
      Keymaster

      It’s a short list
      for now it’s just me
      Drs Chen, Belyansky, and Jacob are interested to start offering this too.

    • #20872
      Alephy
      Participant

      I am wondering, what is the risk of nerve damage in the simpler procedures of just stitching up for small hernias?

    • #21110
      Alephy
      Participant

      @drtowfigh how small in cm does a direct hernia have to be to be eligible to this procedure? I am still wondering how one measures the size….

    • #21112
      drtowfigh
      Keymaster

      Chronic pain risk is same with all procedures, just the mesh can’t be blamed for the non mesh operations.

      We don’t have hard data. I would say 3cm would be a hard upper limit for robotic tissue repair.

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