Akademik Veri Yönetim Sistemi
42nd Annual European Hernia Society Congress , Barcelona, İspanya, 28 - 29 Mayıs 2020, cilt.24, ss.14-15, (Özet Bildiri)
Introduction: Extraperitoneal approaches to hernia repair utilize
inner layers of the abdominal wall as a barrier. The robotic approach
is promising for obtaining the same quality of an open technique with
decreased perioperative morbidity.
Purpose: There has not been a study comparing robotic transabdominal
preperitoneal (rTAPP) repair and robotic totally
extraperitoneal access (rTEP) repair for primary ventral hernias. Our
aim is to compare short-term outcomes of rTAPP to rTEP repair for
primary ventral hernias.
Methods: A comparative analysis was performed in terms of perioperative
and early outcomes. Univariate tests were used to compare
two groups. A subset analysis of all variables was examined in
patients with and without complications. A logistic regression analysis
was conducted to determine which factors affect the presence of
postoperative complications.
Results: From 598 patients, 63 patients underwent rTEP and 143
patients underwent rTAPP for primary ventral hernia repair. There
were no differences between the groups in terms of patient demographics.
Average defect size, mesh size and overlap were higher in
the rTEP group. Operative times were longer in rTEP group. There
were no differences between the two groups in terms of post-operative
outcomes including complication rates and surgical site events.
Female sex and console time were associated with postoperative
complications.
Conclusion: This is the largest study to date comparing the rTAPP
approach to the rTEP approach for primary ventral hernia. The shortterm
results for rTEP repair were similar rTAPP repair. The rTEP
approach allowed