Brian P. Jacob, David C. Chen, Bruce Ramshaw, Shirin Towfigh (eds.) - The SAGES Manual of Groin Pain-Springer International Publishing (2016)

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injury (repaired intra-op with no long-term sequelae), 11 hematomas,
three seromas, and five wound infections.
There are several advantages to using the robotic platform, which
includes improved visualization, decreased tremor, and less dependence
on a surgical assistant. Robotic- assisted MDSC seems safe and feasible,
and the outcomes appear promising for durable relief.
Technique in Detail
A 1–2 cm transverse subinguinal incision is made. The incision is
carried down until the spermatic cord is reached. The spermatic cord is
brought up to the surface. Posterior medial and lateral dissection and
cauterization are performed to ligate branches of the ilioinguinal and
genitofemoral nerves in this area.
The robot is positioned over the patient. A 0° camera lens is utilized.
The right, left, and the fourth robot arms are loaded with Black Diamond
microforceps, Maryland bipolar grasper, and monopolar curved scissors,
respectively (Fig. 26.5 ) [ 3 ]. If a flexible CO 2
laser fiber is used for dis-
Fig. 26.5. Standard robotic instrumentation for targeted denervation (From
Brahmbhatt et al. [ 3 ], with kind permission Springer Science + Business Media).