ROBOTIC SINGLE FLAP METHOD FOR BILATERAL INGUINAL HERNIA MESH REPAIR (rTAPP)

Abstract Materials and Method Single Flap method was used in 25 cases of Bilateral Inguinal Hernia. Patients were taken for rTAPP with three 8 mm ports, one port was supraumbillical and the other two ports were on the same line approximately 8 cm lateral to the supraumbillical port. Incision was made on the peritoneum approximately 5–7 cm from the defect in the midline and flap developed. Dissection was done in the preperitoneal plane in the middle to raise the central flap upto the Space of Retzius and then bilateral dissection was done to reduce the Inguinal Hernia. 16 × 12 cm bilateral mesh placed and sutured in place after defining the critical view of Myopectineal Orifice. Absorbable 2–0 V-loc suture was used to close the flap from midline to the lateral side. Result Evaluation of 25 cases was done in view of duration of surgery, blood loss and discharge from the hospital. Mean operating time was around 45 minutes to 62 minutes in single flap method with great precision and hemostasis. Conclusion Robotic single flap method for bilateral inguinal hernia has the advantage of better vision and hemostasis as compared to two flaps method for bilateral inguinal hernia.