The Systematic Review: The impact of minimally invasive techniques on the outcomes of inguinal hernia repair

Background This review examines the impact of minimally invasive techniques—laparoscopic (TEP, TAPP) and robotic—on inguinal hernia repair outcomes. Based on literature from 2020–2025, it shows that when performed by experienced surgeons, these methods offer faster recovery, less pain, and recur...

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Main Authors: Maria Grys, Marta Piotraszewska, Magdalena Bartold, Filip Kochański, Janina Pohrybieniuk, Karolina Wołk, Dominika Błonka, Jan Pietrzak, Aleksandra Jaskulska, Magda Skudzińska
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-08-01
Series:Quality in Sport
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Online Access:https://apcz.umk.pl/QS/article/view/62934
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author Maria Grys
Marta Piotraszewska
Magdalena Bartold
Filip Kochański
Janina Pohrybieniuk
Karolina Wołk
Dominika Błonka
Jan Pietrzak
Aleksandra Jaskulska
Magda Skudzińska
author_facet Maria Grys
Marta Piotraszewska
Magdalena Bartold
Filip Kochański
Janina Pohrybieniuk
Karolina Wołk
Dominika Błonka
Jan Pietrzak
Aleksandra Jaskulska
Magda Skudzińska
author_sort Maria Grys
collection DOAJ
description Background This review examines the impact of minimally invasive techniques—laparoscopic (TEP, TAPP) and robotic—on inguinal hernia repair outcomes. Based on literature from 2020–2025, it shows that when performed by experienced surgeons, these methods offer faster recovery, less pain, and recurrence rates comparable to open surgery. Robotic repair is particularly promising for complex cases, though it involves higher costs and longer operative times. The review emphasizes the importance of tailoring surgical choices to the surgeon’s expertise, patient profile, and healthcare resources.   Aim of the Study The study aims to evaluate the impact of minimally invasive techniques on the outcomes of inguinal hernia repair.   Materials and methods This systematic review focuses on laparoscopic and robotic repairs compared to open surgery. Outcomes analyzed include operative time, postoperative pain, hospital stay, recurrence, complications, and patient quality of life. Studies published between 2018 and 2025 were sourced from PubMed, MEDLINE, Scopus, Embase, and the Cochrane Library. Included studies span randomized trials, cohort studies, meta-analyses, and systematic reviews. Methodological quality was critically assessed.   Results   Minimally invasive techniques—especially robotic and laparoscopic repairs—were associated with faster recovery, lower postoperative pain, and shorter hospital stays than open repair. Although robotic surgery had longer operative times, this improved with experience. Recurrence rates were similar across techniques, while robotic repairs showed fewer complications.   Conclusions Minimally invasive approaches improve patient outcomes in inguinal hernia repair. Laparoscopic and robotic methods reduce pain and hospital stay. Robotic surgery is beneficial for complex cases but requires more resources and training. Surgical approach should be tailored to the patient and institutional capability.
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spelling doaj-art-bbafe3fab07548a2bf4baff39ebf51442025-08-20T03:42:05ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-08-014410.12775/QS.2025.44.62934The Systematic Review: The impact of minimally invasive techniques on the outcomes of inguinal hernia repairMaria Grys0https://orcid.org/0009-0009-9182-4040Marta Piotraszewska1https://orcid.org/0009-0008-0893-0524Magdalena Bartold2https://orcid.org/0009-0005-0863-167XFilip Kochański3https://orcid.org/0009-0007-4957-8566Janina Pohrybieniuk4https://orcid.org/0000-0002-5737-6880Karolina Wołk5https://orcid.org/0009-0001-9871-4903Dominika Błonka6https://orcid.org/0009-0005-7946-9294Jan Pietrzak7https://orcid.org/0009-0005-4177-5413Aleksandra Jaskulska8https://orcid.org/0009-0003-8745-9593Magda Skudzińska9https://orcid.org/0009-0006-8747-2562Karol Jonscher Municipal Medical Center, ul. Milionowa 14, 93-113 Łódź, PolandSamodzielny Publiczny Zespół Zakładów Opieki Zdrowotnej w Wyszkowie: Wyszków, Mazovia, PL Maria Skłodowska-Curie Specialist Hospital in Zgierz, ul. Parzęczewska 35, 95-100 ZgierzMaria Skłodowska-Curie Specialist Hospital in Zgierz, ul. Parzęczewska 35, 95-100 ZgierzFaculty of Medicine, Wroclaw Medical University, wyb. Ludwika Pasteura 1, 50-367 WrocławPabianice Medical Center, ul.Jana Pawła II 68, 95-200 PabianiceCentralny Szpital Kliniczny: Lodz, Łódź, PL Clinic of Foundation "Swoboda", ul. Sosnowa 4, 95-015 GłownoMedical University of Lodz: Lodz, Łódź Voivodeship, PLSamodzielny Publiczny Zespół Zakładów Opieki Zdrowotnej w Wyszkowie: Wyszków, Mazovia, PL Background This review examines the impact of minimally invasive techniques—laparoscopic (TEP, TAPP) and robotic—on inguinal hernia repair outcomes. Based on literature from 2020–2025, it shows that when performed by experienced surgeons, these methods offer faster recovery, less pain, and recurrence rates comparable to open surgery. Robotic repair is particularly promising for complex cases, though it involves higher costs and longer operative times. The review emphasizes the importance of tailoring surgical choices to the surgeon’s expertise, patient profile, and healthcare resources.   Aim of the Study The study aims to evaluate the impact of minimally invasive techniques on the outcomes of inguinal hernia repair.   Materials and methods This systematic review focuses on laparoscopic and robotic repairs compared to open surgery. Outcomes analyzed include operative time, postoperative pain, hospital stay, recurrence, complications, and patient quality of life. Studies published between 2018 and 2025 were sourced from PubMed, MEDLINE, Scopus, Embase, and the Cochrane Library. Included studies span randomized trials, cohort studies, meta-analyses, and systematic reviews. Methodological quality was critically assessed.   Results   Minimally invasive techniques—especially robotic and laparoscopic repairs—were associated with faster recovery, lower postoperative pain, and shorter hospital stays than open repair. Although robotic surgery had longer operative times, this improved with experience. Recurrence rates were similar across techniques, while robotic repairs showed fewer complications.   Conclusions Minimally invasive approaches improve patient outcomes in inguinal hernia repair. Laparoscopic and robotic methods reduce pain and hospital stay. Robotic surgery is beneficial for complex cases but requires more resources and training. Surgical approach should be tailored to the patient and institutional capability. https://apcz.umk.pl/QS/article/view/62934Inguinal hernialaparoscopic hernia repairteptapprobot-assisted repairoutcomes
spellingShingle Maria Grys
Marta Piotraszewska
Magdalena Bartold
Filip Kochański
Janina Pohrybieniuk
Karolina Wołk
Dominika Błonka
Jan Pietrzak
Aleksandra Jaskulska
Magda Skudzińska
The Systematic Review: The impact of minimally invasive techniques on the outcomes of inguinal hernia repair
Quality in Sport
Inguinal hernia
laparoscopic hernia repair
tep
tapp
robot-assisted repair
outcomes
title The Systematic Review: The impact of minimally invasive techniques on the outcomes of inguinal hernia repair
title_full The Systematic Review: The impact of minimally invasive techniques on the outcomes of inguinal hernia repair
title_fullStr The Systematic Review: The impact of minimally invasive techniques on the outcomes of inguinal hernia repair
title_full_unstemmed The Systematic Review: The impact of minimally invasive techniques on the outcomes of inguinal hernia repair
title_short The Systematic Review: The impact of minimally invasive techniques on the outcomes of inguinal hernia repair
title_sort systematic review the impact of minimally invasive techniques on the outcomes of inguinal hernia repair
topic Inguinal hernia
laparoscopic hernia repair
tep
tapp
robot-assisted repair
outcomes
url https://apcz.umk.pl/QS/article/view/62934
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