Robotic-Assisted Retromuscular Umbilical Prosthetic Hernia Repair (r-TARUP) With Hugo-RAS System: Case Series and Technique.

IF 1.2 4区 医学 Q3 SURGERY
Richard Sassun, Pietro Achilli, Lorenzo Morini, Francesco Brucchi, Vincenzo Nicastro, Giuseppe di Donna, Riccardo Magarini, Bruno Domenico Alampi, Giovanni Ferrari
{"title":"Robotic-Assisted Retromuscular Umbilical Prosthetic Hernia Repair (r-TARUP) With Hugo-RAS System: Case Series and Technique.","authors":"Richard Sassun, Pietro Achilli, Lorenzo Morini, Francesco Brucchi, Vincenzo Nicastro, Giuseppe di Donna, Riccardo Magarini, Bruno Domenico Alampi, Giovanni Ferrari","doi":"10.1097/SLE.0000000000001409","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Minimally invasive approaches have transformed ventral hernia management, with robotic platforms enhancing challenging techniques like the robotic Transabdominal Retromuscular Umbilical Prosthesis (r-TARUP). While traditionally performed using the da Vinci system, the introduction of the Medtronic Hugo RAS system offers a valuable alternative. We present our first case series with standardized surgical technique for r-TARUP using the Hugo RAS system, detailing operative setup, technical considerations, and initial outcomes.</p><p><strong>Methods: </strong>Between September 2024 and February 2025, we performed 30 r-TARUP procedures using the Hugo RAS system. Preoperative evaluation included imaging and risk factor optimization. The technique involved a lateral retromuscular approach, ipsilateral posterior rectus sheath (PRS) closure, and mesh placement. Patients were discharged the following day, with follow-ups assessing complications and recurrences.</p><p><strong>Results: </strong>The mean hernia dimensions were 3.1±1.0 cm in width and 2.6±0.8 cm in length. Rectus diastasis repair was performed in 57% of cases. Mean operating and docking times were 190.6±61.6 and 15±5.3 minutes, respectively. Two cases required conversion to laparoscopic surgery during peritoneal closure. No complications or recurrences were observed after a mean follow-up of 3.6 (1.7 to 5.3) months.</p><p><strong>Conclusions: </strong>Despite the short follow-up, our experience demonstrates the feasibility and safety of r-TARUP with the Hugo RAS system. Comparable outcomes to other robotic platforms suggest that the Hugo RAS system is a viable alternative for ventral hernia repair, offering technical flexibility and promising short-term results.</p>","PeriodicalId":22092,"journal":{"name":"Surgical Laparoscopy, Endoscopy & Percutaneous Techniques","volume":" ","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical Laparoscopy, Endoscopy & Percutaneous Techniques","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/SLE.0000000000001409","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Minimally invasive approaches have transformed ventral hernia management, with robotic platforms enhancing challenging techniques like the robotic Transabdominal Retromuscular Umbilical Prosthesis (r-TARUP). While traditionally performed using the da Vinci system, the introduction of the Medtronic Hugo RAS system offers a valuable alternative. We present our first case series with standardized surgical technique for r-TARUP using the Hugo RAS system, detailing operative setup, technical considerations, and initial outcomes.

Methods: Between September 2024 and February 2025, we performed 30 r-TARUP procedures using the Hugo RAS system. Preoperative evaluation included imaging and risk factor optimization. The technique involved a lateral retromuscular approach, ipsilateral posterior rectus sheath (PRS) closure, and mesh placement. Patients were discharged the following day, with follow-ups assessing complications and recurrences.

Results: The mean hernia dimensions were 3.1±1.0 cm in width and 2.6±0.8 cm in length. Rectus diastasis repair was performed in 57% of cases. Mean operating and docking times were 190.6±61.6 and 15±5.3 minutes, respectively. Two cases required conversion to laparoscopic surgery during peritoneal closure. No complications or recurrences were observed after a mean follow-up of 3.6 (1.7 to 5.3) months.

Conclusions: Despite the short follow-up, our experience demonstrates the feasibility and safety of r-TARUP with the Hugo RAS system. Comparable outcomes to other robotic platforms suggest that the Hugo RAS system is a viable alternative for ventral hernia repair, offering technical flexibility and promising short-term results.

机器人辅助肌肉后脐疝修复(r-TARUP)与Hugo-RAS系统:病例系列和技术。
背景:微创入路已经改变了腹疝的治疗方式,机器人平台增强了具有挑战性的技术,如机器人经腹后肌脐假体(r-TARUP)。虽然传统上使用达芬奇系统进行,但美敦力Hugo RAS系统的引入提供了一个有价值的替代方案。我们介绍了第一个使用Hugo RAS系统进行r-TARUP标准化手术技术的病例系列,详细介绍了手术设置、技术考虑和初步结果。方法:在2024年9月至2025年2月期间,我们使用Hugo RAS系统进行了30例r-TARUP手术。术前评估包括影像学和风险因素优化。该技术包括外侧肌后入路、同侧后直肌鞘(PRS)闭合和补片置入。患者于次日出院,随访评估并发症和复发情况。结果:平均疝尺寸为宽3.1±1.0 cm,长2.6±0.8 cm。57%的病例行直肌移位修复术。平均操作时间和对接时间分别为190.6±61.6分钟和15±5.3分钟。2例在腹膜闭合时需要转到腹腔镜手术。平均随访3.6(1.7 ~ 5.3)个月,无并发症和复发。结论:尽管随访时间较短,但我们的经验证明了r-TARUP与Hugo RAS系统的可行性和安全性。与其他机器人平台的比较结果表明,Hugo RAS系统是腹疝修复的可行选择,提供技术灵活性和有希望的短期效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
2.00
自引率
10.00%
发文量
103
审稿时长
3-8 weeks
期刊介绍: Surgical Laparoscopy Endoscopy & Percutaneous Techniques is a primary source for peer-reviewed, original articles on the newest techniques and applications in operative laparoscopy and endoscopy. Its Editorial Board includes many of the surgeons who pioneered the use of these revolutionary techniques. The journal provides complete, timely, accurate, practical coverage of laparoscopic and endoscopic techniques and procedures; current clinical and basic science research; preoperative and postoperative patient management; complications in laparoscopic and endoscopic surgery; and new developments in instrumentation and technology.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信