{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T02:38:16Z","timestamp":1770518296903,"version":"3.49.0"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,12,3]],"date-time":"2019-12-03T00:00:00Z","timestamp":1575331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Since the introduction of robot\u2010assisted laparoscopic surgery, a variety of conventional laparoscopic procedures have been explored via this approach. In the robotic era, most of the reported robot\u2010assisted laparoscopic hernia repairs were performed with the trans\u2010abdominal pre\u2010peritoneal approach. According to the evidence extrapolated from laparoscopic ventral hernia repair, simultaneous fascial defect closure and mesh repair can significantly decrease the risk of seroma formation and recurrence over those without fascial closure. Therefore, we describe our novel technique of robot\u2010assisted total extra\u2010peritoneal (TEP) repair with primary fascial closure and pre\u2010peritoneal mesh and its preliminary clinical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed our prospectively collected hernia database from October 2017 to July 2019, which included 26 consecutive patients with primary or recurrent groin hernias. Patients' baseline characteristics and perioperative outcomes were compared and analyzed. Perioperative factors included operative time, visual analog scale (VAS) score (0\u2010100), hospital stay, perioperative complications, time to return to normal activity, and the modified Medical Outcome Study (MOS; item 3\u201012\/36 items) score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All procedures were completed successfully without conversion to open or conventional laparoscopic surgery. The patients' age ranged from 28 to 74 years (median 57.5). The mean operative time was 115 minutes (range 95\u2010172 min). There were no major procedure\u2010related complications. Only four cases experienced asymptomatic seromas, which were detected by ultrasonography; and all resolved spontaneously within 6 weeks after the operation. The VAS and modified MOSs revealed quick recovery after robot\u2010assisted endoscopic TEP repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Robot\u2010assisted endoscopic TEP repair combined with primary fascial closure and pre\u2010peritoneal mesh is a safe and feasible technique for groin hernia repair.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.2052","type":"journal-article","created":{"date-parts":[[2019,11,2]],"date-time":"2019-11-02T03:44:22Z","timestamp":1572666262000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Novel robot\u2010assisted laparoscopic total extra\u2010peritoneal repair with primary fascial closure plus pre\u2010peritonea mesh for large groin defects"],"prefix":"10.1002","volume":"16","author":[{"given":"Chih\u2010Chin","family":"Yu","sequence":"first","affiliation":[{"name":"Department of Surgery Taipei Tzu Chi Hospital, The Buddhist Medical Foundation  New Taipei City Taiwan"},{"name":"Medical College Tzu Chi University  Hualien Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chi\u2010Wen","family":"Lo","sequence":"additional","affiliation":[{"name":"Department of Surgery Taipei Tzu Chi Hospital, The Buddhist Medical Foundation  New Taipei City Taiwan"},{"name":"Medical College Tzu Chi University  Hualien Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yung\u2010Tai","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Urology Postal Hospital  Taipei Taiwan"},{"name":"Department of Urology Taiwan Adventist Hospital  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chia\u2010Da","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Surgery Taipei Tzu Chi Hospital, The Buddhist Medical Foundation  New Taipei City Taiwan"},{"name":"Medical College Tzu Chi University  Hualien Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shih\u2010Chieh J.","family":"Chueh","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Lerner College of Medicine and Glickman Urological and Kidney Institute Cleveland Clinic  Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2833-5609","authenticated-orcid":false,"given":"Yao Chou","family":"Tsai","sequence":"additional","affiliation":[{"name":"Department of Surgery Taipei Tzu Chi Hospital, The Buddhist Medical Foundation  New Taipei City Taiwan"},{"name":"Medical College Tzu Chi University  Hualien Taiwan"},{"name":"Department of Urology School of Medicine, College of Medicine"},{"name":"Department of Urology Taipei Medical University Hospital, Taipei Medical University  Taipei 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