ArticleANZ journal of surgery2026
Operative Efficiency and Short-Term Outcomes of Robotic Transabdominal Preperitoneal Inguinal Hernia Repair: A Prospective Single-Surgeon Cohort Study.
Article in ANZ journal of surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
backgroundRobotic transabdominal preperitoneal inguinal hernia repair (R-TAPP IHR) is a promising minimally invasive tool for inguinal hernias. This study aimed to evaluate short-term postoperative outcomes following R-TAPP IHR from a high-volume robotic surgeon who has passed the initial robotic learning curve.
methodsA single-surgeon, single-institution prospective cohort study was conducted from August 2023 to October 2025. Adults who completed an elective R-TAPP IHR were consecutively enrolled. We collected data including baseline demographics and operative characteristics. Postoperative data was assessed and collected via structured telephone follow-up on postoperative day 1 (POD-1), POD-7, and POD-28, evaluating pain scores, postoperative complications, and hospital readmissions.
resultsA total of 89 patients underwent 119 repairs. The median console duration was 21 min. The overall operative duration from incision to closure was a median of 38 min, while total theatre time (wheels in to wheels out) was a median of 68 min. These times continued to decrease over the duration of the study. Most patients were discharged on the same day, with a median length of stay of 0 days. Reported pain scores decreased over time, with median values of 4 (out of 10) on POD-1, 2 on POD-7, and 0 by POD-28. Clavien-Dindo grades I-II complications occurred in 4.5% of cases. No grade III-IV complications were observed, and no recurrences were identified during follow-up.
conclusionThis study demonstrates that R-TAPP IHR in the post-learning curve setting is highly efficient and is associated with favourable short-term outcomes.
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