{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:26:14Z","timestamp":1787840774301,"version":"build-2784847793"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Inguinal hernias are the most common type of abdominal wall hernias, comprising approximately 75% of cases. Surgical management has advanced from traditional open repair to minimally invasive techniques such as laparoscopic transabdominal preperitoneal (TAPP) repair. Robotic-assisted TAPP represents a newer evolution in hernia surgery. This study compares robotic-assisted and laparoscopic TAPP in terms of post-operative pain, intraoperative visualisation and procedural feasibility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>A descriptive, observational study was conducted at SMS Hospital, Jaipur, involving 72 patients (36 in each group) undergoing unilateral or bilateral uncomplicated inguinal hernia repair. Post-operative pain was assessed using the Visual Analogue Scale (VAS) at 8, 16 and 24 h. Intraoperative ergonomics and feasibility were measured using standard fatigue and visualisation scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The robotic-assisted TAPP group demonstrated significantly lower pain scores at all post-operative time points (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Mean VAS scores at 8, 16 and 24 h were 5.03, 3.22 and 1.94, respectively, in the robotic-assisted group, compared to 5.83, 4.28 and 2.83 in the laparoscopic group. The overall mean VAS score was 3.38 for robotic-assisted and 4.31 for laparoscopic TAPP (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01). Visualisation was rated as \u2018very good\u2019 in 100% of robotic-assisted cases versus only \u2018good\u2019 or \u2018average\u2019 in laparoscopic cases (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Robotic-assisted TAPP is associated with significantly reduced post-operative pain, superior surgical field visualisation and improved ergonomic feasibility compared to laparoscopic TAPP. These findings support the use of robotic-assisted TAPP as a preferred approach for inguinal hernia repair.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_331_25","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T11:00:39Z","timestamp":1774004439000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Robotic-assisted versus laparoscopic transabdominal preperitoneal inguinal hernia repair: A cross-sectional comparison of surgical outcomes"],"prefix":"10.4103","author":[{"given":"Basavaraj Siddappa","family":"Chougala","sequence":"first","affiliation":[{"name":"Department of General Surgery, Sawai Man Singh Hospital, Jaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ojaswi","family":"Mittal","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Sawai Man Singh Hospital, Jaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shalu","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Sawai Man Singh Hospital, Jaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohan","family":"Gopalakrishnappa","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Sawai Man Singh Hospital, Jaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanuj","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Sawai Man Singh Hospital, Jaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishwanath","family":"Patil","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Sawai Man Singh Hospital, Jaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,19]]},"reference":[{"key":"R1-20260320","first-page":"1327","article-title":"Inguinal hernia repair:A review of surgical techniques","volume":"32","author":"Schouten","year":"2018","journal-title":"Surg Endosc"},{"key":"R2-20260320","first-page":"745","article-title":"Global trends in hernia repair:A review of surgical practices and outcomes","volume":"23","author":"Holzhauer","year":"2019","journal-title":"Hernia"},{"key":"R3-20260320","first-page":"895","article-title":"Evolution of inguinal hernia repair:From Bassini's repair to minimally invasive techniques","volume":"22","author":"Leong","year":"2018","journal-title":"Hernia"},{"key":"R4-20260320","first-page":"791","article-title":"Robotic versus laparoscopic inguinal hernia repair:A 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