Our Summary

This research aimed to compare two ways of repairing incisional hernias: using a robotic-assisted method or a traditional laparoscopic method. The researchers looked at both the effectiveness and safety of these techniques by analyzing studies which had a follow-up of at least one month.

After reviewing over 2000 studies, they selected four that met their criteria. These studies included over 1200 patients, more than a third of whom had their hernias repaired using a robot. The follow-up periods varied between 1 and 24 months.

They found that there wasn’t a significant difference in the rate of complications after surgery between the two methods. The rate at which hernias came back after surgery was also similar for both methods. However, patients who had their hernias repaired using a robot stayed in the hospital for about one day less than those who had traditional laparoscopic surgery. On the downside, surgeries using a robot took significantly longer than traditional surgeries.

In conclusion, using a robot to repair incisional hernias wasn’t significantly better or worse in terms of complications or how often hernias came back. However, patients recovered quicker and spent less time in the hospital, despite the surgery itself taking longer.

FAQs

  1. How do the rates of complications compare between robotic-assisted and traditional laparoscopic hernia repairs?
  2. Does the method of hernia repair impact the length of hospital stay post-surgery?
  3. Does the surgical method used affect the recurrence rate of hernias?

Doctor’s Tip

A doctor might tell a patient that while both robotic-assisted and traditional laparoscopic hernia repair methods are effective, using a robot may result in a quicker recovery and shorter hospital stay. However, the surgery itself may take longer. It’s important for the patient to discuss the pros and cons of each method with their doctor to determine the best approach for their individual case.

Suitable For

Patients who are typically recommended laparoscopic hernia repair include those with smaller hernias, who are in good overall health, and who have a lower risk of complications during surgery. Additionally, patients who prefer a minimally invasive approach to surgery may also be candidates for laparoscopic hernia repair. However, it is important for patients to discuss their individual medical history and preferences with their healthcare provider to determine the best treatment option for their specific situation.

Timeline

Before laparoscopic hernia repair:

  • Patient experiences symptoms of a hernia such as pain, swelling, or a bulge in the affected area
  • Patient consults with a healthcare provider who confirms the diagnosis of a hernia
  • Patient undergoes pre-operative evaluations and tests to assess their overall health and suitability for surgery
  • Patient receives instructions on how to prepare for the surgery, including fasting before the procedure

After laparoscopic hernia repair:

  • Patient undergoes the laparoscopic hernia repair procedure, which involves making small incisions in the abdomen to insert a laparoscope and surgical instruments
  • The surgeon repairs the hernia using mesh to strengthen the abdominal wall
  • Patient wakes up in the recovery room and is monitored for any immediate post-operative complications
  • Patient may experience some pain and discomfort in the days following the surgery, which can be managed with pain medications
  • Patient is discharged from the hospital typically within the same day or the next day
  • Patient is advised to avoid heavy lifting and strenuous activities for a few weeks and to follow up with their healthcare provider for post-operative care and monitoring

What to Ask Your Doctor

Some questions a patient should ask their doctor about laparoscopic hernia repair include:

  1. What are the benefits of laparoscopic hernia repair compared to traditional open surgery?
  2. What are the potential risks and complications associated with laparoscopic hernia repair?
  3. How long is the recovery time after laparoscopic hernia repair?
  4. Will I need to stay in the hospital after the surgery, and if so, for how long?
  5. How experienced are you in performing laparoscopic hernia repairs?
  6. Are there any specific risks or considerations for my individual case that I should be aware of?
  7. How long does the surgery typically take?
  8. What type of follow-up care will be needed after the surgery?
  9. What are the chances of the hernia coming back after laparoscopic repair?
  10. Are there any alternative treatment options to consider?

Reference

Authors: Peñafiel JAR, Valladares G, Cyntia Lima Fonseca Rodrigues A, Avelino P, Amorim L, Teixeira L, Brandao G, Rosa F. Journal: Hernia. 2024 Apr;28(2):321-332. doi: 10.1007/s10029-023-02881-1. Epub 2023 Sep 19. PMID: 37725188