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    Robotic Inguinal Hernia Repair and Obesity, Where Do We Stand?

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    Date
    2022
    Author
    Elakkad, Mohamed Soliman
    ElBakry, Tamer
    Bouchiba, Nizar
    Halfaoui, Mourad
    ElOsta, Abdelrahman
    Qabbani, Amjad
    Singh, Rajvir
    Aboumarzouk, Omar M.
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    Abstract
    Introduction: Robotic hernia repair is an established modality; we aimed to assess the safety and efficacy in obese patients. Methods: A retrospective cross-control study was conducted on the results for 99 patients who have undergone robotic hernia repairs. Student t-test and Mann-Whitney U test were used to compare between the obese group of patients and the nonobese. Surgical Research section has approved the study and exempted from IRB. Outcome measures included patient demographics, operative time, hospital stay, complications, re-admission rates, and hernia recurrence rates. Results: The study included 78 nonobese and 21 obese patients, with an average age of 44.2 and 48.1 years, all of whom underwent robotic inguinal hernia repair. There was no difference regarding patient demographics. However, the obese group was older, and had a higher ASA score than the nonobese group. We found no difference between the two groups regarding operative time, the number of mesh used, length of hospital stay, complication rates, further intervention requirement for complications, or re-admission rates or hernial recurrence rates. Conclusion: There was no difference between the obese and nonobese patient undergoing robotic hernial repairs. This technique was found to be safe and efficient in the obese patient with minimal complications, despite significantly higher rate of comorbidity compared to the nonobese patient.
    DOI/handle
    http://dx.doi.org/10.1089/bari.2021.0006
    http://hdl.handle.net/10576/56909
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    • Medicine Research [‎1819‎ items ]

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