options, I've also reinvented an old non-mesh inguinal hernia repair
based on an open procedure that was developed in the 1960s that I
can now do robotically. It's called an open posterior or iliopubic tract
repair. I used to do it in open fashion for sick and complex patients
who had intestinal strangulation, and in whom I couldn't use mesh.
The robotic iliopubic tract repair is the same posterior repair. You
approach the hernia from behind and sew it closed with robotic assis-
tance. I now offer this electively for patients who don't want, or can't
have, mesh. Whether you do it open, the way it was originally
described, or with the robot, it's a great repair for the general surgeon
to learn.
The results have been very good, and we've shared our short-term
and long-term data with this repair at SAGES and the Americas
Hernia Society meet-
ings.
In our Phase I trial,
we used the tech-
nique on small non-
recurrent, non-scrotal
hernias in non-obese
patients — basically
healthy people with
small hernias. They
all did really well and
had no recurrence at
2 years. Now we're in
Phase 3 and expand-
ing our enrollment
opportunities to larg-
er non-recurrent
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