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Abstract Materials and Method Patient had undergone robotic assisted radical prostatectomy and later developed inguinal hernia on left side. Patient was taken for Diagnostic Laparoscopy and 3 Robotic ports were made (8 mm each, one port was Supraumbillical and the other two ports were on the same line 8 to 10 cm lateral to supraumbillical port) and peritoneal flap raised for left inguinal hernia by meticulous dissection and reduction of the hernia sac was done and mesh placed. The procedure was uneventful. Result At our institution we have performed cases of Robotic Inguinal mesh Hernioplasty (rTAPP) after post Robotic Assisted Radical Prostatectomy. Out of 10 cases of Diagnostic Laparoscopy, due to dense adhesions in view of previous surgery and non-availability of flap, only four cases could be done by robotic TAPP and the rest were converted to the conventional method. Conclusion Robotic rTAPP, in view of a stable platform, better vision and hemostasis, resulted in precise dissection and the best results for such complex cases.
Ayushi Vashistha (Wed,) studied this question.