Implementation of robotic hernia surgery using the Versius® system.
Frances DixonAdnan QureshiParveen Vitish-SharmaAchal KhannaBarrie D KeelerPublished in: Journal of robotic surgery (2022)
This case series aims to demonstrate that hernia surgery is safe and feasible using the Versius® robotic system from CMR Surgical, and to describe the surgical techniques used. It is the first series published using this novel system. Forty-one consecutive hernia repair cases were completed using Versius®, including inguinal and ventral hernias. Data were collected prospectively on a number of pre-, peri-, and postoperative outcomes. Techniques are described for robotic transabdominal preperitoneal repair of inguinal hernia, and intraperitoneal onlay mesh repair of ventral hernia. Thirty-two inguinal and nine ventral hernia repairs were performed over a 12-month period. The population were 88% male with a mean body mass index of 27.4 ± 3.5. There were no conversions to open surgery. Median length of stay was 0 days. Six patients (15%) experienced urinary retention, and there were 2 further minor complications with no major complications, readmissions or reoperations. Use of the Versius® system for robotic hernia surgery is safe, with comparable results to existing robotic systems. Implementation is possible with minimal changes to established surgical techniques.
Keyphrases
- minimally invasive
- robot assisted
- coronary artery bypass
- body mass index
- spinal cord
- healthcare
- primary care
- deep brain stimulation
- newly diagnosed
- patients undergoing
- end stage renal disease
- surgical site infection
- ejection fraction
- prostate cancer
- risk factors
- quality improvement
- metabolic syndrome
- coronary artery disease
- deep learning
- randomized controlled trial
- type diabetes