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RACS ASC 2025
Robotic Inguinal Hernia: A Template for the Future
Invited Paper
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Institution: Sydney Adventist Hospital - NSW, Australia

Inguinal hernia repair (IHR) is one of the most performed procedures in general surgery, with over 50,000 operations performed in Australia annually. There is clinical equipoise regarding the increasing global adoption of robotic inguinal hernia repair as a cost-effective, safe minimally invasive option. Most comparitive studies are limited by the inexperience of the robotic surgeons, or structure of the units in which they are conducted. The present study analysed the short-term outcomes of R-TAPP IHR when performed in a dedicated centre with high volume robotic surgeons, anaesthetics and theatre staff, following a protocol driven day only procedure. The primary outcome was to report postoperative pain scores, and analgesic use in the first 28-days. The secondary outcomes were to investigate operative times, length of stay, operative complications, recurrence and 30-day readmission rates. Compared to the literature, this study shows near equivalent if not better clinical effectiveness regarding parameters such as operative time, day of surgery discharge, POD1,7 and 28 pain scores and 30-day complication events This study provides a template for widespread adoption of robotic inguinal hernia repair.
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Associate Professor Stephen Pillinger -