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		robotic-assisted laparoscopic non-mesh hernia repairs?Posted by Alephy on January 11, 2020 at 5:22 am[USER=”935″]drtowfigh[/USER] in which cases is this procedure used? indirect hernias only? with children? drtowfigh replied 5 years, 9 months ago 3 Members · 10 Replies
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			10 Replies
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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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@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…. 
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I am wondering, what is the risk of nerve damage in the simpler procedures of just stitching up for small hernias? 
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It’s a short list 
 for now it’s just me
 Drs Chen, Belyansky, and Jacob are interested to start offering this too.
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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. 
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Can sew more easily robotically. yes. Direct if they are small. these are nonscrotal hernis withiut significant bulging. 
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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? 
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