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Robotic surgery has become increasingly popular worldwide; however, robotic inguinal hernia repair remains less common outside the United States. As a result, the standardization of robotic transabdominal preperitoneal repair (R-TAPP) techniques has not yet been established and requires further validation. In traditional laparoscopic transabdominal peritoneal repair, mesh fixation is typically achieved using a tucker. In contrast, R-TAPP necessitates the use of sutures for mesh fixation, which can be challenging due to the risk of peritoneal drooping - especially in cases involving the abandonment of the hernia sac technique. This report presents a straightforward technique for mesh suture fixation in R-TAPP that enhances the efficiency of the procedure by streamlining the fixation process on the ventral side of the mesh. In conclusion, this method significantly improves the overall efficiency of R-TAPP, making it a valuable addition to surgical practice.
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http://dx.doi.org/10.7759/cureus.81982 | DOI Listing |
Hernia
September 2025
Center for Perioperative Optimization, Department of Surgery, Copenhagen University Hospital - Herlev and Gentofte, Borgmester Ib Juuls Vej 1, Herlev, DK-2730, Denmark.
Purpose: Primary ventral hernia repair is a common elective procedure; however, mesh placement practices vary widely, and there is limited evidence to guide optimal placement. This international study examined surgeons' preferences and considerations regarding mesh placement in elective primary ventral hernia repair.
Methods: We conducted an international cross-sectional survey targeting surgeons experienced in primary ventral hernia repair.
Cureus
August 2025
General Surgery, Walsall Manor Hospital, Walsall, GBR.
A De Garengeot hernia describes the rare occurrence of an appendix located within a femoral hernia sac. An incidence of appendiceal inflammation associated with a De Garengeot hernia is an even rarer surgical finding. A woman in her 70s presented to a district general hospital with a two-week history of a mildly tender right-sided groin lump.
View Article and Find Full Text PDFJ Surg Case Rep
September 2025
NUTRIM, Department of Surgery, Maastricht University, PO Box 616, 6200 MD Maastricht, Limburg, The Netherlands.
Traumatic diaphragmatic hernia (TDH) is a rare condition, especially on the right side, often lacking specific symptoms and sometimes manifesting years after the initial trauma. This case report highlights the importance of thorough history-taking, physical examination, and radiological imaging in the diagnosis and treatment of TDH. A 41-year-old male presented with recurrent epigastric pain and respiratory problems, initially treated for gastritis without relief.
View Article and Find Full Text PDF[This corrects the article DOI: 10.1371/journal.pone.
View Article and Find Full Text PDFBr J Surg
September 2025
Department of Diagnostic and Intervention, Umeå University, Umeå, Sweden.
Background: Laparoscopic intraperitoneal onlay mesh repair using a bridging technique has shown high rates of hernia site complications. Primary fascial closure before mesh placement has been utilized to address this. This randomized, parallel, double-blind, multicentre controlled trial investigated whether primary fascial closure reduces hernia site complications.
View Article and Find Full Text PDF