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BENEFITS OF ROBOTIC TECHNIQUE IN INGUINAL HERNIA CORRECTION: A LITERATURE REVIEW

Goal: To identify, through a bibliographical review, the benefits of robotic herniorrhaphy compared to conventional techniques, in adult patients with inguinal hernia and its impacts in the postoperative period. Methods: Bibliographic review carried out between October and November 2022, through searches in the SciELO and PubMed databases, 13 studies being included after the inclusion and exclusion criteria. Review:  The minimally invasive approach to laparoscopic inguinal repair, as well as robotics, proposes an estimable clinical benefit in view of the reduction of costs and the risk of polypharmacy, although there is an increase in cost and surgical time. Laparoscopic and robotic correction did not show significant differences. However, robotic surgery had a longer operative time than the laparoscopic technique and there was no difference in recurrence when comparing the three techniques. For the postoperative period, there was no significant difference between the laparoscopic and robotic techniques regarding the correction of unilateral inguinal hernia. Recovery is better with robotic correction compared to open surgery because it is minimally invasive. Final considerations: Robotic inguinal hernia repair surgery and its benefits compared to conventional surgery for adults must be better understood. The surgical management of inguinal hernia is still evolving and the results of the technique must be further investigated in the long term.

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BENEFITS OF ROBOTIC TECHNIQUE IN INGUINAL HERNIA CORRECTION: A LITERATURE REVIEW

  • DOI: 10.22533/at.ed.1592802209124

  • Palavras-chave: Herniorrhaphy; Robotic Surgery; Postoperative Complications.

  • Keywords: Herniorrhaphy; Robotic Surgery; Postoperative Complications.

  • Abstract:

    Goal: To identify, through a bibliographical review, the benefits of robotic herniorrhaphy compared to conventional techniques, in adult patients with inguinal hernia and its impacts in the postoperative period. Methods: Bibliographic review carried out between October and November 2022, through searches in the SciELO and PubMed databases, 13 studies being included after the inclusion and exclusion criteria. Review:  The minimally invasive approach to laparoscopic inguinal repair, as well as robotics, proposes an estimable clinical benefit in view of the reduction of costs and the risk of polypharmacy, although there is an increase in cost and surgical time. Laparoscopic and robotic correction did not show significant differences. However, robotic surgery had a longer operative time than the laparoscopic technique and there was no difference in recurrence when comparing the three techniques. For the postoperative period, there was no significant difference between the laparoscopic and robotic techniques regarding the correction of unilateral inguinal hernia. Recovery is better with robotic correction compared to open surgery because it is minimally invasive. Final considerations: Robotic inguinal hernia repair surgery and its benefits compared to conventional surgery for adults must be better understood. The surgical management of inguinal hernia is still evolving and the results of the technique must be further investigated in the long term.

  • Isabela Rutkowski
  • Hugo Gomes Soares
  • Ana Luiza Masselai
  • Sérgio Augusto Dutra da Conceição
  • Lauiza Maria Fonseca Lobo Silva
  • Luiz Victor Padoan de Oliveira
  • Nathália Perrelli Valença Silva
  • Natalia Nonato Alencar
  • Larissa Carvalho de Souza
  • Elisa Barros Campos
  • Victor Prudêncio Ibiapina de Morais
  • Josenil Bezerra Nascimento Neto
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