Open AccessROBOTIC RETRO RECTUS MESH REPAIR OF VENTRAL ABDOMINAL HERNIA – AN INSTITUTIONAL EXPERIENCE
Author(s) -
R Arundev,
Durga Sowmya S,
Farhanul Huda
Publication year - 2021
Publication title -
global journal for research analysis
Language(s) - English
DOI - 10.36106/gjra/9510725
Subject(s) - medicine , surgery , seroma , hernia , dissection (medical) , ventral hernia , hernia repair , visual analogue scale , abdominal wall , complication
Ventral hernia is a common condition treated by general surgeons. Open ventral mesh hernia repair has been in practice; the high failure rates have led to the rise of minimally invasive techniques. The da Vinci robot-assisted repair is a minimally invasive technique that provides an advantage of three-dimensional imaging, precise suturing, and dissection at difficult angles. In this study, we share our experience of robot assisted retro rectus ventral hernia repair (RRVH) in four patients. Retro rectus mesh placement has the advantage of fewer chances of exposure of the mesh and a low operative cost, as polypropylene mesh can be used. Of the four patients, 3 were females, and one was male with a mean age of 46.5±6.5 SD. The mean operative time was 175±28.7 minutes for skin-to-skin completion and 151.25 ± 26.07 minutes for console duration. There were no intra-operative complications. Post-operatively, the average pain score on the day of surgery was 1.75±0.43 SD (on a scale from 0 to 10) and on the first postoperative day was 0.5 ± 0.5 SD. The average length of hospital stay was 2.25±0.43 SD days. None of the patients had seroma, surgical site infection, adhesive bowel obstruction, or recurrence of hernia on one month and six months follow up. RRVH has an advantage regarding the decreased postoperative pain and early return to daily activities. This technique promotes the usage of polypropylene mesh, which reduces the cost of surgery.