P-009 OPEN VS LAPAROSCOPIC VS ROBOT-ASSISTED INGUINAL HERNIA REPAIR: A CASE SERIES

Abstract Aim Minimally invasive inguinal hernia repair is thought to be associated with fewer complications. To address this hypothesis, we compared short- and long-term complications in patients undergoing elective open (Lichtenstein), laparoscopic (TAPP) robot-assisted (rTAPP). Material & Methods Patients either, Lichtenstein, TAPP or rTAPP at our institution between January 1st 2017 December 30th 2019 were retrospectively identified. Short (haematoma, seroma, surgical-site infections) (chronic pain, recurrence) recorded groups. Results 636 included the study. 370 treated 125 141 rTAPP. There was a significant overweight of men all groups (p < 0,001). Among group, overall rate reduced (open: 10.0%; laparoscopic: 8.8%; 5.7%) while presence chronic pain slightly more prevalent (Lichtenstein: 1.6%; TAPP: rTAPP: 2.1%). The recurrence lower following 3.8%; 2.4%; 1.4%). Same day discharged likely technique 88.9%; 78.4%; 78.7%). Nevertheless, these results not statistically (p>0.05). Conclusions present case series demonstrates comparable short minimally repair. trend towards rate, though significant, implies that surgery might complication rate. However, larger prospective study design longer follow-up needed test hypothesis.