Our Summary

This research paper looks at the effectiveness of using a specific robot, called an Endoscope Manipulator Robot (EMARO), during a type of surgery used to fix inguinal hernias (a condition where tissue, like part of the intestine, protrudes through a weak spot in the abdominal muscles).

The researchers compared two groups of patients: one group had their surgery using the robot (E-TAPP), while the other group had traditional laparoscopic surgery (L-TAPP), which is a minimally invasive surgery using a small incision and a tiny camera to guide the surgeon.

They found that the robot-assisted surgery could be done by one surgeon, whereas the traditional method needed two. The operating times and blood loss for the two groups were similar and there were no significant differences. Setting up the robot took around 8 minutes. None of the patients had their hernias come back after the surgery, and the rates of complications after surgery were similar for the two groups.

However, fewer patients in the robot-assisted group needed painkillers after the surgery compared to the traditional group, which was a significant difference.

In conclusion, the study suggests that using the robot for this type of surgery can save on labor costs and reduce pain after surgery. The results of the robot-assisted surgeries were as good as those of the traditional surgeries, and the robot-assisted surgeries were also safe.

FAQs

  1. What is the difference between E-TAPP and L-TAPP surgeries for inguinal hernias?
  2. What are the benefits of using the Endoscope Manipulator Robot (EMARO) in hernia surgeries?
  3. Were there any differences in complication rates or recurrence of hernias between the robot-assisted and traditional surgeries?

Doctor’s Tip

A doctor might tell a patient that laparoscopic hernia repair using a robot-assisted technique can potentially result in less post-operative pain compared to traditional laparoscopic surgery. This could lead to a quicker recovery and reduced need for pain medication. It is important for the patient to discuss with their surgeon the best approach for their specific case.

Suitable For

Patients who are typically recommended for laparoscopic hernia repair include those with inguinal hernias, particularly those who are looking for a minimally invasive option with potentially faster recovery times and less post-operative pain. Additionally, patients who may benefit from robot-assisted surgery, such as those with complex hernias or those who have had previous hernia repairs that were unsuccessful, may also be recommended for this type of procedure. Ultimately, the decision of whether to undergo laparoscopic hernia repair, either with or without robot assistance, should be made in consultation with a healthcare provider based on the individual patient’s specific circumstances and needs.

Timeline

Before laparoscopic hernia repair:

  • Patient may experience symptoms of a hernia, such as pain or discomfort in the affected area
  • Consultation with a doctor to discuss treatment options
  • Pre-operative tests and evaluations to assess the patient’s health and determine if they are a suitable candidate for surgery

During laparoscopic hernia repair:

  • Patient is given anesthesia to prevent pain during the procedure
  • Small incisions are made in the abdomen for the insertion of surgical instruments and a camera
  • The surgeon uses the camera to guide them as they repair the hernia using mesh or sutures
  • The incisions are closed with sutures or surgical tape

After laparoscopic hernia repair:

  • Patient may experience some pain, swelling, or bruising in the area of the incisions
  • Instructions for post-operative care, including activity restrictions and wound care
  • Follow-up appointments with the surgeon to monitor recovery and address any concerns
  • Gradual return to normal activities as advised by the surgeon
  • Long-term monitoring for any signs of hernia recurrence or complications

What to Ask Your Doctor

Some questions a patient should ask their doctor about laparoscopic hernia repair using a robot (EMARO) include:

  1. How does robot-assisted surgery for hernia repair compare to traditional laparoscopic surgery in terms of effectiveness and safety?
  2. What are the benefits of using a robot for hernia repair surgery?
  3. How long does it take to set up the robot for surgery?
  4. Are there any potential risks or complications associated with robot-assisted hernia repair surgery?
  5. Will I need less pain medication after robot-assisted surgery compared to traditional laparoscopic surgery?
  6. How experienced is the surgeon in performing robot-assisted hernia repair surgery?
  7. What is the recovery process like after robot-assisted surgery?
  8. Are there any specific guidelines or restrictions I need to follow after undergoing robot-assisted hernia repair surgery?
  9. How long will it take for me to fully recover and return to normal activities after the surgery?
  10. Are there any long-term effects or considerations to keep in mind after undergoing robot-assisted hernia repair surgery?

Reference

Authors: Furukawa S, Wakiyama K, Okamura K, Noshiro H. Journal: Hernia. 2024 Aug;28(4):1461-1465. doi: 10.1007/s10029-024-03090-0. Epub 2024 Jun 22. PMID: 38907879