Yamana Ippei, Fujikawa Takahisa, Nagata Keiji, Harada Kei, Hasegawa Suguru
Surgery, Kokura Memorial Hospital, Kitakyushu, JPN.
Gastroenterological Surgery, Fukuoka University Hospital, Fukuoka, JPN.
Cureus. 2025 Apr 9;17(4):e81982. doi: 10.7759/cureus.81982. eCollection 2025 Apr.
Robotic surgery has become increasingly popular worldwide; however, robotic inguinal hernia repair remains less common outside the United States. As a result, the standardization of robotic transabdominal preperitoneal repair (R-TAPP) techniques has not yet been established and requires further validation. In traditional laparoscopic transabdominal peritoneal repair, mesh fixation is typically achieved using a tucker. In contrast, R-TAPP necessitates the use of sutures for mesh fixation, which can be challenging due to the risk of peritoneal drooping - especially in cases involving the abandonment of the hernia sac technique. This report presents a straightforward technique for mesh suture fixation in R-TAPP that enhances the efficiency of the procedure by streamlining the fixation process on the ventral side of the mesh. In conclusion, this method significantly improves the overall efficiency of R-TAPP, making it a valuable addition to surgical practice.
机器人手术在全球范围内越来越受欢迎；然而，机器人腹股沟疝修补术在美国以外地区仍然不太常见。因此，机器人经腹腹膜前修补术（R-TAPP）技术的标准化尚未建立，需要进一步验证。在传统的腹腔镜经腹腹膜修补术中，网片固定通常使用推钉器完成。相比之下，R-TAPP需要使用缝线进行网片固定，由于存在腹膜下垂的风险，这可能具有挑战性——尤其是在放弃疝囊技术的情况下。本报告介绍了一种在R-TAPP中网片缝线固定的简单技术，该技术通过简化网片腹侧的固定过程提高了手术效率。总之，该方法显著提高了R-TAPP的整体效率，使其成为外科手术实践中的一项有价值的补充。
