Novel “T‐Incision” Method With Robotic‐Assisted Transabdominal Preperitoneal Repair for Lateral Inguinal Hernia: An Operative Technique (With Video)
Year: 2026
Type: article
Abstract: INTRODUCTION: Robotic-assisted transabdominal preperitoneal repair (R-TAPP) was first described in 2007. Since then, the procedure has gained increasing popularity, particularly in the United States, where its use surpassed laparoscopic repair in 2022. In Japan, R-TAPP is performed only under self-pay healthcare, but nationwide multicenter data have confirmed its safety and feasibility. MATERIALS AND SURGICAL TECHNIQUE: We developed a novel peritoneal incision method-the "T-incision"-to optimize exposure and facilitate mesh placement during R-TAPP for lateral inguinal hernia. This approach combines the advantages of linear and circular incisions. We describe the procedural details and provide step-by-step intraoperative images and video. DISCUSSION: Robotic platforms enable precise dissection in confined spaces. The T-incision balances surgical exposure and safety, improving mesh placement without excessive dissection. We believe this technique will help to standardize R-TAPP in Japan as the procedure becomes more widely implemented.
Institution: Saiseikaisenri Hospital
Language: English
Topic: Hernia repair and management
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7134888693