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Robotic Bilateral Inguinal Hernia Repair (TAPP)

Transabdominal preperitoneal robotic repair of bilateral inguinal hernias with mesh.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Robotic Bilateral Inguinal Hernia Repair (TAPP)?

Robotic TAPP repair is a minimally invasive transabdominal approach to inguinal hernia where pneumoperitoneum is established, the peritoneum is incised above the hernia defect, the preperitoneal space is dissected to expose the myopectineal orifice of Fruchaud, and a polypropylene mesh is placed to cover indirect, direct, and femoral spaces, then the peritoneal flap is sutured closed. The robotic platform offers articulating instruments and 3D vision favorable for bilateral and recurrent repairs.

Bilateral inguinal hernias and recurrent hernias are the strongest indications for laparoscopic or robotic TAPP because both sides can be addressed through the same trocar setup, and the preperitoneal mesh covers the entire myopectineal orifice including occult contralateral defects. Robotic suturing facilitates secure peritoneal closure, reducing the risk of bowel adhesion to mesh.

Outcomes match open Lichtenstein for recurrence and chronic pain at 1 year and exceed open repair for early postoperative pain, return to work, and cosmesis. Disadvantages are higher cost and need for general anesthesia. Mesh fixation with absorbable tacks, glue, or self-fixating mesh reduces postoperative pain compared to permanent fixation.

Symptoms

Bilateral groin bulges with strain
Heaviness or dull groin pain
Bulging worse with cough or lifting
Recurrent inguinal hernia after open repair
Sports hernia and athletic pubalgia
Femoral hernia with bilateral inguinal
Asymmetric scrotal swelling

Risk Factors

Male sex and chronic cough
Heavy lifting or constipation
Prior open inguinal repair
Connective tissue disease
BMI in healthy range (preferred)
Chronic prostatic obstruction
Family history of hernia

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Bilateral groin bulges or pain
  • Recurrent hernia after open repair
  • Acute non-reducible groin mass
  • Persistent groin pain after lifting
  • Suspicion of hidden contralateral hernia

Treatment Methods

01
Preoperative groin ultrasound or MRI for occult hernia
02
Single-stage robotic TAPP for bilateral repair
03
Pneumoperitoneum and 3-port robotic docking
04
Wide preperitoneal dissection of myopectineal orifice
05
Polypropylene mesh covering all hernia spaces
06
Atraumatic peritoneal flap closure with sutures
07
Same-day discharge and early return to activity

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.