{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T16:13:17Z","timestamp":1789834397015,"version":"4.0.1"},"reference-count":21,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T00:00:00Z","timestamp":1600214400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surg Innov"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>Background. Seroma formation after videoendoscopic repair of inguinal hernias, known as \u201cpseudorecurrence\u201d, may vary from an asymptomatic, self-limiting occurrence to a painful, chronic problem. The aim of this study was to investigate the incidence of postoperative seroma in robotic-assisted transabdominal preperitoneal hernia repair (R-TAPP), modified by suturing and fixating the transversalis fascia to the Cooper ligament. Methods. The study was approved by the local ethics committee (2019-01132 CE-3495). Patients undergoing R-TAPP for direct inguinal hernia from October 2017 to December 2019 were included. In all patients, a barbed running suture of the transversalis fascia was performed to close the cavity resulting from the direct hernia reduction and to fix it to the Cooper ligament, then a lightweight mesh was placed. Demographic and clinical data were collected and analysed. Results. Over the study period, 67 R-TAPP in 51 patients were identified. All patients were male, with a mean age of 63.1 \u00b1 12.7 \u00a0years. There was 1 case of conversion to open surgery due to adhesions of the caecum to the groin as a result of perforated appendicitis. The mean length of the hospital stay was 1.8 \u00b1 .6 \u00a0days. After discharge, no cases of seroma or recurrence at 30 \u00a0days nor chronic pain at a mean follow-up of 10.3 \u00b1 6.8 \u00a0months was detected. Conclusions. In the treatment of direct inguinal hernia with R-TAPP, suturing and anchoring the transversalis fascia to the Cooper ligament are safe, feasible and recommendable in order to prevent postoperative seromas.<\/jats:p>","DOI":"10.1177\/1553350620960976","type":"journal-article","created":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T13:32:20Z","timestamp":1600263140000},"page":"284-289","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["Suture and Fixation of the Transversalis Fascia during Robotic-Assisted Transabdominal Preperitoneal Hernia Repair to Prevent Seroma Formation after Direct Inguinal Hernia Repair"],"prefix":"10.1177","volume":"28","author":[{"given":"Ramon","family":"Pini","sequence":"first","affiliation":[{"name":"Department of Surgery, Ospedale Regionale di Bellinzona e Valli, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8824-651X","authenticated-orcid":false,"given":"Francesco","family":"Mongelli","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ospedale Regionale Lugano, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Proietti","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ospedale Regionale Lugano, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnese","family":"Cianfarani","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ospedale Regionale di Bellinzona e Valli, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Garofalo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ospedale Regionale Lugano, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Di Giuseppe","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ospedale Regionale di Bellinzona e Valli, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"La Regina","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ospedale Regionale di Bellinzona e Valli, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,9,16]]},"reference":[{"key":"bibr1-1553350620960976","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2018.0805"},{"key":"bibr2-1553350620960976","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-011-1799-6"},{"issue":"9","key":"bibr3-1553350620960976","first-page":"150","volume":"113","author":"Berger D","year":"2016","journal-title":"Dtsch Arztebl Int"},{"key":"bibr4-1553350620960976","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-005-0052-6"},{"key":"bibr5-1553350620960976","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-002-8771-4"},{"key":"bibr6-1553350620960976","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-017-5912-3"},{"key":"bibr7-1553350620960976","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-007-0233-4"},{"key":"bibr8-1553350620960976","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-011-0892-z"},{"key":"bibr9-1553350620960976","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2011.10.005"},{"key":"bibr10-1553350620960976","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-017-5912-3"},{"key":"bibr11-1553350620960976","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-015-1403-4"},{"key":"bibr12-1553350620960976","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-019-01903-1"},{"issue":"7","key":"bibr13-1553350620960976","first-page":"740","volume":"21","author":"Tian W","year":"2018","journal-title":"Zhonghua Wei Chang Wai Ke Za Zhi"},{"key":"bibr14-1553350620960976","unstructured":"Bittner R, Schmedt CG, Leibl BJ. 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