AI Article Synopsis
- The study aimed to investigate how BMI affects operative time, complications, and recurrence rates in robotic inguinal hernia repair (IHR) using the transabdominal preperitoneal approach (TAPP), analyzing data from 304 patients from 2012 to 2019.
- Results showed that lower BMI groups (Underweight/Normal) experienced significantly shorter operating times for both bilateral and unilateral repairs compared to higher BMI groups (Pre-Obese and Obese).
- Despite differences in operating times based on BMI, the study found no significant differences in complications or recurrence rates across the different BMI categories.
Article Abstract
Background: BMI is a risk factor for recurrence and post-operative complications in both open and laparoscopic totally extraperitoneal approach (TEP) repair. Robotic surgery using the transabdominal preperitoneal approach (TAPP) is a safe and viable option for inguinal hernia repair (IHR). The objective of this study is to determine how difference in BMI influences rate of operative time, complications, and rate of recurrence in a robotic TAPP IHR.
Methods: We performed a retrospective review of patients who underwent robotic inguinal hernia repair between 2012 and 2019 at a Veterans Health Administration facility (N = 304). The operating time, outcomes, and overall morbidity and mortality for robotic IHR were compared between three different BMI Groups. These groups were divided into: "Underweight/Normal Weight" (BMI < 25) n = 102, "Pre-Obese" (BMI 25-29.9) n = 120, and "Obese" (BMI 30 +) n = 82.
Results: The average operating time of a bilateral IHR by BMI group was 83.5, 98.4, and 97.8 min for BMIs < 25, 25-29.9, and 30 +, respectively. Operating time was lower in the Underweight/Normal BMI group compared to the Pre-Obese group (p = 0.006) as well as the Obese group (p = 0.001). For unilateral repair, the average operation length by group was 65.2, 70.9, and 85.6 min for BMIs < 25, 25-29.9, and 30 +, respectively, demonstrating an increased time for Obese compared to Underweight/Normal BMI (p = 0.001) and for Obese compared to Pre-Obese (p = 0.01). Demographic/comorbidity variables were not significantly different, except for a higher percentage of white patients in the Underweight/Normal BMI group compared to the Pre-Obese and Obese groups (p = 0.02 and p = 0.0003). There was no significant difference in complications or recurrence.
Conclusion: BMI has a significant impact on the operating time of both unilateral and bilateral robotic hernia repair. Despite this increased operative time, BMI group did not differ significantly in postoperative outcomes or in recurrence rates.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00464-022-09259-x | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Non-Meckel Ileal Diverticulum Incarcerated Within a Strangulated Inguinal Hernia: A Case Report.
Cureus
December 2024
Upper Gastrointestinal Surgery, North Manchester General Hospital, Manchester, GBR.
Non-Meckel small bowel diverticula, particularly ileal diverticula, are rare, especially when incarcerated within an inguinal hernia sac. This case involves an 80-year-old man who presented with a newly noticed tender, irreducible lump in his left groin, accompanied by symptoms of bowel obstruction such as inability to pass flatus and vomiting. His medical history included a previous right inguinal hernia repair.
View Article and Find Full Text PDFLaparoscopic Hernia Sac Transection With Intracorporeal Ligation: A Comparison With Open Hernia Repair in the Pediatric Age Group.
Cureus
December 2024
Department of General Surgery, Ganesh Shankar Vidhyarthi Memorial Medical College, Kanpur, IND.
Background and objective Inguinal hernia in children results from a failure of the processus vaginalis (PV) to close, leading to herniation. Surgical repair is necessary to prevent complications in this patient population. This study aimed to compare the outcomes between laparoscopic herniotomy (LH) and open herniotomy (OH) in pediatric patients with inguinal hernia.
View Article and Find Full Text PDFA case report and literature review of De Garengeot hernia.
J Surg Case Rep
January 2025
Department of General Surgery, Weston General Hospital, University Hospitals Bristol and Weston NHS Trust, Grange Road Uphill, Weston-Super-Mare, Bristol BS23 4TQ, United Kingdom.
The presence of an appendix in the femoral hernia, known as De Garengeot hernia, was first described by a French surgeon named Rene Jacques Croissant de Garengeot in 1731. It is a rare surgical entity occurring in only 0.5-5% of all femoral hernias.
View Article and Find Full Text PDFInguinal hernia mesh infections: Chronic challenges, atypical pathogens and lessons in sterilisation.
Trop Doct
January 2025
Junior Resident, Department of General Medicine, Silchar Medical College and Hospital, Assam, India.
Chronic mesh infections after inguinal hernia repair present significant clinical challenges due to biofilm-mediated resistance, involvement of multidrug-resistant and atypical pathogens, and gaps in preventive strategies. Our case series of four patients highlights critical research gaps, including the overlooked role of atypical pathogens such as , diagnostic challenges in detecting slow-growing or resistant organisms and perioperative sterilisation lapses, especially inconsistent Glutaraldehyde use during late-day operations. Many patients suffered with persistent sinuses and recurrent hernias months after surgery.
View Article and Find Full Text PDFDoing Less Later: Seniorization of General Surgery Resident Operative Experience in the Entrustable Professional Activities at Veterans Affairs Hospitals.
J Surg Educ
January 2025
Department of Surgery, Washington University School of Medicine, St. Louis, Missouri; John Cochran VA Medical Center, St. Louis, Missouri.
Objective: Identify changes in general surgery resident autonomy and resident postgraduate year (PGY) level in Entrustable Professional Activity (EPA) cases over time.
Design: Retrospective cohort study.
Setting: United States Veterans Affairs (VA) hospital system, 2004 to 2020.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!