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Income Taxes - Additional Information (Detail) - USD ($)
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Dec. 31, 2018
Dec. 31, 2017
Income Tax Contingency [Line Items]            
Estimates annual effective tax rate     4.30%      
Deferred tax benefit     $ 1,479,000 $ 1,799,000    
Current tax expense $ (869,000) $ (883,000) $ (1,479,000) $ (1,773,000)    
Effective tax rate     3.40% 4.80%    
Unrecognized tax benefits that would affect effective tax rate 0   $ 0      
GILTI deferred amounts           $ 0
GILTI income tax     0   $ 0  
Foreign Tax Authority | TransEnterix Italia            
Income Tax Contingency [Line Items]            
Net deferred tax asset 0   0      
Valuation allowance $ 0   0      
Foreign Tax Authority | Israel Tax Authority            
Income Tax Contingency [Line Items]            
Current tax expense     $ 30,000.00