Robotic inguinal hernia repair: Is it a new era in the management of inguinal hernia?

Eli Kakiashvili, Maxim Bez, Ibrahim Abu Shakra, Samer Ganam, Amitai Bickel, Fahed Merei, Assi Drobot, Grigori Bogouslavski, Walid Kassis, Kamal Khatib, Mahran Badran, Yoram Kluger, Ronit Almog

Research output: Contribution to journalArticlepeer-review


Objective: We compared outcomes of elective inguinal hernia repair performed at one institution by three approaches: robotic-assistance, laparoscopic, and open. Methods: Characteristics of the patients, the hernia and the procedures performed during 2014–2016 were accessed from patient electronic medical files of 137 elective inguinal hernia repairs. 24 surgeries were robotic-assisted, 16 laparoscopic and 97 open repairs. Results: Distributions of age, sex and BMI did not differ between the groups. Bilateral repair was more common in the robotic (70.8%) than the laparoscopic (50.0%) and open groups (12.4%) (p < 0.001). Direct hernias were more common in the open (45.4%) than the robotic (20.8%) and laparoscopic (12.5%) groups (p < 0.001). Only 3 hernias were inguinoscrotal, all in the robotic group. The median operation times were 44.0, 79.0 and 92.5 min for the open, laparoscopic and robotic methods, respectively (p < 0.001). Among the unilateral repairs, the median operative times were the same for the robotic and laparoscopic procedures, 73 min, and less for the open procedures, 40 min. The proportion of patients hospitalized for 2–3 days was higher for open repair (13.4% vs. 6.2% and 0% for laparoscopic and robotic), but this difference was not statistically significant. The median maximal postoperative pain according to a 0-10-point visual analogue score was 5.0, 2.0 and 0 for open, laparoscopic and robotic procedures, respectively (p < 0.001). Conclusions: This report demonstrated the safety and feasibility of robotic-assisted inguinal hernia repair.

Original languageEnglish
Pages (from-to)93-98
Number of pages6
JournalAsian Journal of Surgery
Issue number1
StatePublished - Jan 2021
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2020


  • Adult
  • Aged
  • Elective Surgical Procedures/methods
  • Feasibility Studies
  • Female
  • Hernia, Inguinal/surgery
  • Herniorrhaphy/methods
  • Humans
  • Laparoscopy/methods
  • Length of Stay/statistics & numerical data
  • Male
  • Middle Aged
  • Operative Time
  • Pain, Postoperative/epidemiology
  • Robotic Surgical Procedures/methods
  • Safety

ASJC Scopus subject areas

  • Surgery


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