# A Simple Procedure for Mesh Suture Fixation in Robotic Inguinal Hernia Repair: A Technical Report

## TL;DR

This paper introduces a simplified mesh fixation technique for robotic inguinal hernia repair, improving surgical efficiency.

## Contribution

A novel, efficient mesh suture fixation method for robotic transabdominal preperitoneal hernia repair is proposed.

## Key findings

- The proposed technique streamlines mesh fixation on the ventral side during R-TAPP.
- The method reduces the risk of peritoneal drooping during hernia sac abandonment.
- This approach enhances the overall efficiency of robotic inguinal hernia repair.

## Abstract

Robotic surgery has become increasingly popular worldwide; however, robotic inguinal hernia repair remains less common outside the United States. As a result, the standardization of robotic transabdominal preperitoneal repair (R-TAPP) techniques has not yet been established and requires further validation. In traditional laparoscopic transabdominal peritoneal repair, mesh fixation is typically achieved using a tucker. In contrast, R-TAPP necessitates the use of sutures for mesh fixation, which can be challenging due to the risk of peritoneal drooping - especially in cases involving the abandonment of the hernia sac technique. This report presents a straightforward technique for mesh suture fixation in R-TAPP that enhances the efficiency of the procedure by streamlining the fixation process on the ventral side of the mesh. In conclusion, this method significantly improves the overall efficiency of R-TAPP, making it a valuable addition to surgical practice.