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Robotic Hernia Repair

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https://www.readbyqxmd.com/read/30117136/initial-experience-with-robotic-hernia-repairs-a-review-of-150-cases
#1
Ty Kirkpatrick, Bethany Zimmerman, Karl LeBlanc
BACKGROUND: Robotic-assisted surgery has proved to be a valuable modality in specialties such as urology and gynecology and has gained wide acceptance in those fields. Its value in general surgery, however, has had a slower acceptance rate among surgeons. This study reviews my first 150 cases using the robot for one of the most common general surgery operations-the repair of hernias. MATERIALS AND METHODS: All robotic hernia cases performed by a single surgeon were documented in an Excel� (Microsoft Corporation, Redmond, Washington) spreadsheet beginning in April, 2014...
August 14, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/30100042/robotic-port-site-hernias-after-general-surgical-procedures
#2
Ramon Diez-Barroso, Carlos H Palacio, Julian A Martinez, Konstantinos Makris, Nader N Massarweh, Christy Y Chai, Samir S Awad, Hop S Tran Cao
BACKGROUND: With the increasing use of the robotic platform in general surgery, whether 8-mm ports should be closed comes into question. We sought to characterize the incidence of port-site hernias (PSHs) among patients undergoing robotic-assisted general surgery. METHODS: A retrospective chart review of a single institutional database identified patients who underwent robotic-assisted general surgery from July 2010 to December 2016. For each patient, the number, type, location, and size of all ports were collected...
October 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/30098709/proficiency-based-training-and-credentialing-can-improve-patient-outcomes-and-decrease-cost-to-a-hospital-system
#3
Vernissia Tam, Jeffrey Borrebach, Stefanie Altieri Dunn, Johanna Bellon, Herbert J Zeh, Melissa E Hogg
BACKGROUND: While proficiency-based robotic training has been shown to enhance skill acquisition, no studies have shown that training leads to improved outcomes or quality measures. METHODS: Board-certified general surgeons participated in an optional proficiency-based robotic training curriculum and outcomes from robotic hernia cases were analyzed. Multivariable analysis was performed for operative times to adjust for patient and surgical variables. RESULTS: Six out of 16 (38%) surgeons completed training and 210 robotic hernia cases were analyzed...
August 3, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/30097796/prophylactic-mesh-used-in-ileal-conduit-formation-following-radical-cystectomy-a-retrospective-cohort
#4
P L Tenzel, Z F Williams, R A McCarthy, W W Hope
PURPOSE: Given the difficulty of durable repairs, there is continued interest in hernia prevention. One emerging prevention technique for parastomal hernias is prophylactic mesh placement, whereby mesh is inserted during the index procedure as hernia prophylaxis. We evaluated our experience using prophylactic mesh when creating an ileal conduit. METHODS: We retrospectively reviewed patients undergoing robotic cystectomy with ileal conduit from 6/2010 to 8/2017. Patient demographics and operative/perioperative outcomes were documented...
August 10, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/30051454/-application-of-milos-concept-in-ventral-hernia-repair
#5
Yonggang Huang, Ping Wang
Direct suture repair with mesh reinforcement is the main surgical procedure in ventral hernia repair. The best place for mesh implantation is retromuscular space which means sublay. The most commonly used techniques are open sublay and laparoscopic IPOM repair. But open sublay repair may cause more trauma to the abdominal wall and result in more infections. Laparoscopic IPOM repair carries an increased risk in bowel injury, mesh-related complications and postoperative pain. Germany surgeon Reinpold developed a new technique defined as "MILOS concept" by combining the advantages of open sublay and laparoscopic IPOM repair...
July 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/30051439/-application-of-da-vinci-robotic-surgery-to-hernia-repair
#6
Wen Tian, Yang Fei
Da Vinci robotic surgical system has brought giant evolution to minimally invasive surgery, and also improved the development of hernia surgery. Recently, Da Vinci robotic surgical system has been successfully applied to the repair of incisional hernia, inguinal hernia, and esophageal hiatal hernia. In the area of incisional herniorrhaphy, endowrist with 7 degrees of freedom, high definition and naked eye 3D imaging system can make Da Vinci robotic surgical system easy to complete the subtle suture in the anterior abdominal wall from the abdominal cavity...
July 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/30033512/concurrent-repair-of-inguinal-hernias-with-mesh-application-during-transperitoneal-robotic-assisted-radical-prostatectomy-is-it-safe
#7
Ali Fuat Atmaca, Nurullah Hamidi, Abdullah Erdem Canda, Murat Keske, Arslan Ardicoglu
PURPOSE: To assessment the safety of concurrent repair of inguinal hernia (IH) with mesh application during transperitoneal robotic-assisted radical prostatectomy(RARP). MATERIALS AND METHODS: Data of 20 patients (totally 25 procedures) who performed concurrent IH repair with mesh application during RARP were retrospectively enrolled in this study. Preoperative patient characteristics, intra and postoperative parameters (pathological Gleason grade, prostate volume at surgical specimen, operative time, herniorrhaphy time, estimated blood loss, complications, time of hospitalization, catheterization, and drainage) were evaluated...
July 23, 2018: Urology Journal
https://www.readbyqxmd.com/read/29981622/outcomes-after-robotic-ventral-hernia-repair-a-study-of-21-565-patients-in-the-state-of-new-york
#8
Maria S Altieri, Jie Yang, Jianjin Xu, Mark Talamini, Aurora Pryor, Dana A Telem
The purpose of our study is to assess outcomes following robotic ventral hernia (RVH) repair. The New York Statewide Planning and Research Cooperative System administrative database was used to identify all patients undergoing laparoscopic ventral hernia (LVH) and RVH between 2010 and 2013. Outcome measures including complications, hospital length of stay (HLOS), 30-day readmissions, and 30-day emergency department (ED) visits were compared. Propensity score (PS) analysis was used to estimate the adjusted marginal differences between patients who underwent robotic-assisted and laparoscopic procedures...
June 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29974283/early-operative-outcomes-of-endoscopic-etep-access-robotic-assisted-retromuscular-abdominal-wall-hernia-repair
#9
I Belyansky, H Reza Zahiri, Z Sanford, A S Weltz, A Park
BACKGROUND: The enhanced-view totally extraperitoneal (eTEP) hernia repair technique was first described for laparoscopic inguinal hernia repair and later applied to laparoscopic ventral and incisional hernia repair. We present our center's early operative outcomes utilizing principles of this technique during robotic ventral and incisional hernia repair for implementation of the robotic eTEP Rives-Stoppa (eRS) and eTEP transversus abdominis release (eTAR) techniques. METHODS: A review of a prospectively maintained database of hernia patients was conducted identifying 37 patients who underwent robotic eTEP for ventral, incisional, flank or parastomal hernia repair between March and October 2017...
July 4, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29950797/paraesophageal-hiatal-hernia-repair-with-urinary-bladder-matrix-graft
#10
Raelina S Howell, Melissa Fazzari, Patrizio Petrone, Alexander Barkan, Keneth Hall, María José Servide, María Fernanda Anduaga, Collin E M Brathwaite
Background and Objectives: Paraesophageal hiatal hernia repair can be performed with or without mesh reinforcement. The use, technique, and mesh type remain controversial because of mixed reports on mesh-related complications. Short-term outcomes have become important in all forms of surgery. Methods: From January 2012 through April 2017, all patients who underwent isolated hiatal hernia repair in our center were reviewed. Concomitant bariatric surgery cases were excluded...
April 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/29923274/inseparable-interaction-of-the-prostate-and-inguinal-hernia
#11
REVIEW
Akira Miyajima
With an increase in their prevalence, it has become apparent that both benign prostatic hyperplasia and radical prostatectomy for cancer can induce inguinal hernia development. An inguinal hernia is a common late complication following radical prostatectomy, with an occurrence rate of 12-25%. Following radical prostatectomy, the space of Retzius can develop adhesions to surrounding tissue, often causing difficulty during inguinal hernia repair. Conversely, inguinal hernia repair before radical prostatectomy also induces severe adhesions around the space of Retzius and causes difficulty during radical prostatectomy...
July 2018: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/29915903/correction-to-patient-perceptions-of-acute-pain-and-activity-disruption-following-inguinal-hernia-repair-a-propensity-matched-comparison-of-robotic-assisted-laparoscopic-and-open-approaches
#12
James G Bittner Iv, Lawrence W Cesnik, Thomas Kirwan, Laurie Wolf, Dongjing Guo
Unfortunately, the online published article has errors in Table 2. The number "118.0" found under the column "L-IHR" and row "Time from IHR to resume activities" should be corrected to 18.0.
June 18, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29871475/robot-assisted-thoracoscopic-repair-of-a-late-onset-bochdalek-hernia-a-case-report
#13
Mario Lima, Niel Di Salvo, Sara Ugolini, Michele Libri, Giovanni Ruggeri
Bochdalek hernia (BH) is a major malformation that consists of a postero-lateral diaphragmatic defect through which abdominal contents can migrate into the thorax. It is most commonly a neonatal pathology associated with significant morbidity and mortality. Rarely, this type of congenital diaphragmatic hernia (CDH) presents later in life, some even in adulthood. Indications for surgery are not clear even though the majority of authors, being aware of the possible severe complications, recommend surgical correction in all cases...
May 25, 2018: La Pediatria Medica e Chirurgica: Medical and Surgical Pediatrics
https://www.readbyqxmd.com/read/29766308/robotic-assisted-laparoscopic-groin-hernia-repair-observational-case-control-study-on-the-operative-time-during-the-learning-curve
#14
Filip Muysoms, Stijn Van Cleven, Iris Kyle-Leinhase, Conrad Ballecer, Archana Ramaswamy
BACKGROUND: Robotic groin hernia repair (r-TAPP) is demonstrating rapid adoption in the US. Barriers in Europe include: low availability of robotic systems to general surgeons, cost of robotic instruments, and the perception of longer operative time. METHODS: Patients undergoing r-TAPP in our start-up period were prospectively entered in the EuraHS database and compared to laparoscopic TAPP (l-TAPP) performed by the same surgeon within the context of two other prospective studies...
May 15, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29754627/minimally-invasive-approaches-to-inguinal-hernias
#15
REVIEW
Charlotte M Horne, Ajita S Prabhu
Both the transabdominal preperitoneal approach and the total extraperitoneal approach to inguinal hernias provide an effective means of repairing inguinal hernias. The robotic platform can be used and may help to decrease immediate postoperative pain; however, as this is a fairly new technique, more research will help further determine long-term outcomes. In all methods of fixation, we ensure adequate fixation medially with tacks placed on the Cooper ligament. Awareness of the nerves and vessels helps to guide dissection as well as prevent inadvertent injury during mesh fixation...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754624/flank-and-lumbar-hernia-repair
#16
REVIEW
Lucas R Beffa, Alyssa L Margiotta, Alfredo M Carbonell
Flank and lumbar hernias are challenging because of their rarity and anatomic location. Several challenges exist when approaching these specific abdominal wall defects, including location, innervation of the lateral abdominal wall musculature, and their proximity to bony landmarks. These hernias are confined by the costal margin, spine, and pelvic brim, which makes closure of the defect, including mesh placement, difficult. This article discusses the anatomy of lumbar and flank hernias, the various etiologies for these hernias, and the procedural steps for open and robotic preperitoneal approaches...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754622/umbilical-hernia-repair-overview-of-approaches-and-review-of-literature
#17
REVIEW
Paul W Appleby, Tasha A Martin, William W Hope
Umbilical hernias are ubiquitous, and surgery is indicated in symptomatic patients. Umbilical hernia defects can range from small (<1 cm) to very large/complex hernias, and treatment options should be tailored to the clinical situation. Open, laparoscopic, and robotic options exist for repair, with each having its advantages and disadvantages. In general, mesh should be used for repair, because it has been shown to decrease recurrence rates, even in small hernias. Although outcomes are generally favorable after umbilical hernia repairs, some patients have chronic complaints that are mostly related to recurrences...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754621/incisional-hernia-repair-minimally-invasive-approaches
#18
REVIEW
Jeremy A Warren, Michael Love
A common surgical procedure, ventral hernia repair has long been a vexing problem, with no clear standard for repair and significant postoperative morbidity. Laparoscopic repair has the clear advantage of lower postoperative morbidity. However, application of laparoscopic ventral hernia repair is often limited by patient factors and hernia morphology. Long-term complications of intraperitoneal mesh and recurrence are concerning. Robotic-assisted surgery is the latest advance in minimally invasive hernia repair, combining the advantages of open repair with complete abdominal wall reconstruction and restoration of functional anatomy with the wound morbidity and decreased recovery time of laparoscopy...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29738381/robotic-assisted-laparoscopic-repair-of-scrotal-inguinal-hernias
#19
Christopher G Yheulon, Daniel W Maxwell, Fadi M Balla, Ankit D Patel, Edward Lin, Jamil L Stetler, Steven S Davis
BACKGROUND: Scrotal inguinal hernias represent a challenging surgical pathology. Although some advanced laparoscopists can repair these hernias through a minimally invasive approach, open repair is considered the technique of choice for most surgeons. The purpose of this study is to show our results of robotic-assisted laparoscopic repair of scrotal inguinal hernias. PATIENTS AND METHODS: We reviewed the charts of 14 patients with inguinoscrotal hernias who underwent robotic-assisted transabdominal preperitoneal (TAPP) hernia repair...
June 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/29721702/first-100-consecutive-robotic-inguinal-hernia-repairs-at-a-veterans-affairs-hospital
#20
Alyssa K Kosturakis, Kathryn E LaRusso, Nels D Carroll, Michael B Nicholl
The utilization of robotics in general surgery has increased significantly including usage in the Veterans Affairs (VA) system. We implemented a robotic inguinal hernia repair (RIHR) program in our VA hospital and report on initial experience with safety and outcomes. The first 100 consecutive RIHR at a VA hospital were reviewed and compared against the results of contemporaneous open inguinal hernia repair (OIHR). Data were collected for operative characteristics, surgical complications and pain related outcomes...
May 3, 2018: Journal of Robotic Surgery
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