Journal of

Case Reports and Images in Surgery

 
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Case Report
 
Robotic surgery approach to incarcerated inguinoscrotal hernia: A case report
Thomas J. Shaknovsky1, Lance U. Jung2, Seth Iskowitz3, Zahra Beizaeipour4
1DO, Southeast Alabama Medical Center, Attending Surgeon, Dothan, AL, USA
2MD, FACS, Richmond University Medical Center, Attending Surgeon, Staten Island, New York, USA
3BS, Richmond University Medical Center, Medical Student, Staten Island, New York, USA
4BSc, MS, Richmond University Medical Center, Medical Student, Staten Island, New York, USA

Article ID: 100041Z12TS2017
doi:10.5348/Z12-2017-41-CR-6

Address correspondence to:
Thomas J, Shaknovsky
Southeast Alabama Medical Center
Attending Surgeon, Dothan, AL
USA

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How to cite this article:
Shaknovsky TJ, Jung LU, Iskowitz S, Beizaeipour Z. Robotic surgery approach to incarcerated inguinoscrotal hernia: A case report. J Case Rep Images Surg 2017;3:21–24.


ABSTRACT
Introduction: Repair of inguinal hernias is one of the most common procedures performed by general surgeons today. Specifically, management of incarcerated inguinal hernias currently open tension free repair followed by laparoscopic approaches (transabdominal preperitoneal and totally extraperitoneal) is the most prevalent. More recently, the application of robotic platform da Vinci surgical system has permutated every aspect of general surgery including hernia surgery. We describe our experience with robotic approach to repair of incarcerated inguinoscrotal hernia.
Case Report: We present an 81-year-old male with a three-year history of reducible right inguinal hernia that presented to the emergency department with inability to reduce the hernia. He was subsequently diagnosed with right incarcerated inguinoscrotal hernia and recommended to undergo surgical intervention. Robotic surgical approach was chosen for repair of his hernia. patient underwent successful robotic repair with mesh of right incarcerated inguinoscrotal hernia and had an unremarkable postoperative course.
Conclusion: The 3D high definition imaging and superior dissection control of the robotic platform da Vinci surgical system affords the surgeon unique advantage in approaching incarcerated inguinal hernias. Although, currently open and laparoscopic approaches are more prevalent, the robotic approach is safe and effective option.

Keywords: Inguinoscrotal hernia, Robotic hernia repair, Robotic herniorrhaphy, Robotic incarcerated 32 inguinal hernia, Robotic surgery, Robotic TAPP


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Author Contributions
Thomas J. Shaknovsky – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Lance U. Jung – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Seth Iskowitz – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Zahra Beizaeipour – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Thomas J. Shaknovsky et al. This article is distributed of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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