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Robotic vs laparoscopic inguinal hernia

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https://www.readbyqxmd.com/read/29162068/new-steps-of-robot-assisted-radical-prostatectomy-using-the-extraperitoneal-approach-a-propensity-score-matched-comparison-between-extraperitoneal-and-transperitoneal-approach-in-japanese-patients
#1
Satoshi Kurokawa, Yukihiro Umemoto, Kentaro Mizuno, Atsushi Okada, Akihiro Nakane, Hidenori Nishio, Shuzo Hamamoto, Ryosuke Ando, Noriyasu Kawai, Keiichi Tozawa, Yutaro Hayashi, Takahiro Yasui
BACKGROUND: Robot-assisted radical prostatectomy (RARP) is commonly performed using the transperitoneal (TP) approach with six trocars over an 8-cm distance in the steep Trendelenburg position. In this study, we investigated the feasibility and the benefit of using the extraperitoneal (EP) approach with six trocars over a 4-cm distance in a flat or 5° Trendelenburg position. We also introduced four new steps to the surgical procedure and compared the surgical results and complications between the EP and TP approach using propensity score matching...
November 21, 2017: BMC Urology
https://www.readbyqxmd.com/read/29067575/inguinal-hernia-repair-is-there-a-benefit-to-using-the-robot
#2
Eric J Charles, J Hunter Mehaffey, Carlos A Tache-Leon, Peter T Hallowell, Robert G Sawyer, Zequan Yang
BACKGROUND: The number of robotic surgical procedures performed yearly is constantly rising, due to improved dexterity and visualization capabilities compared with conventional methods. We hypothesized that outcomes after robotic-assisted inguinal hernia repair would not be significantly different from outcomes after laparoscopic or open repair. METHODS: All patients undergoing inguinal hernia repair between 2012 and 2016 were identified using institutional American College of Surgeons National Surgical Quality Improvement Program data...
October 24, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28646321/early-outcomes-of-robotic-assisted-inguinal-hernia-repair-in-obese-patients-a-multi-institutional-retrospective-study
#3
Ramachandra Kolachalam, Eugene Dickens, Lawrence D'Amico, Christopher Richardson, Jorge Rabaza, Reza Gamagami, Anthony Gonzalez
BACKGROUND: Minimally invasive inguinal hernia repair (IHR) in general and particularly in obese patients has not been widely adopted, potentially due to the perceived technical challenges and the well-documented learning curve associated with laparoscopic repair. Outcomes in robotic-assisted IHR in obese (BMI ≥ 30 kg/m(2)) patients have not been described and warrant study. METHODS: Seven surgeons conducted a multicenter retrospective chart review of their early robotic-assisted IHR (RHR) cases and compared them with their open IHR (OHR) cases...
June 23, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28337532/transition-from-laparoscopic-totally-extraperitoneal-inguinal-hernia-repair-to-robotic-transabdominal-preperitoneal-inguinal-hernia-repair-a-retrospective-review-of-a-single-surgeon-s-experience
#4
Omar Yusef Kudsi, Justin C McCarty, Nivedh Paluvoi, Allan S Mabardy
BACKGROUND: There is a paucity of literature comparing laparoscopic to robotic inguinal hernia repair. We present a single surgeon's transition from laparoscopic totally extraperitoneal (L-TEP) to robotic transabdominal preperitoneal (R-TAPP) inguinal hernia repair and compare outcomes from the two approaches. METHODS: This retrospective review and analysis of prospectively collected data compare outcomes during the transition from L-TEP to R-TAPP inguinal hernia repair by a single surgeon at one institution...
September 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28160111/anatomical-retzius-space-preservation-is-associated-with-lower-incidence-of-postoperative-inguinal-hernia-development-after-robot-assisted-radical-prostatectomy
#5
K D Chang, A Abdel Raheem, G D R Santok, L H C Kim, T G H Lum, S H Lee, W S Ham, Y D Choi, K H Rha
BACKGROUND: Postoperative inguinal hernia (IH) is a non-negligible sequelae with a wide array of rates after robot-assisted laparoscopic radical prostatectomy (RALP). Our aim was to evaluate the incidence and risk factors of postoperative IH development in men undergoing RALP. METHODS: A retrospective analysis of 839 patients "541 of conventional-RALP (C-RALP), and 298 of Retzius sparing-RALP (RS-RALP)" received treatment of prostate cancer between 2005 and 2016 and met with our inclusion criteria was performed...
August 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28120135/extraperitoneal-vs-transperitoneal-robot-assisted-radical-prostatectomy-in-patients-with-a-history-of-prior-inguinal-hernia-repair-with-mesh
#6
David Horovitz, Changyong Feng, Edward M Messing, Jean V Joseph
Robot-assisted radical prostatectomy (RARP) may be performed via an extraperitoneal (eRARP) or transperitoneal (tRARP) approach. There are no published studies comparing these two methods in patients with a history of prior inguinal hernia repair with mesh (IHRm), but the latter is often advocated in this setting. A retrospective review of patients who underwent RARP with prior IHRm who had a minimum follow-up of 3 months from July 1, 2003 to December 31, 2014 was undertaken. Of 2927 patients who underwent RARP for primary treatment of adenocarcinoma of the prostate, 286 patients had a clear history of IHRm...
December 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27112781/comparison-of-robotic-versus-laparoscopic-transabdominal-preperitoneal-tapp-inguinal-hernia-repair
#7
COMPARATIVE STUDY
Kimberly E Waite, Mark A Herman, Patrick J Doyle
Despite growing popularity and potential advantages of robotics in general surgery, there is very little published data regarding robotic inguinal hernia repair. This study examines a single surgeon's early experience with robotic TAPP inguinal hernia repair compared with laparoscopic TAPP repair in terms of feasibility and cost. We performed a retrospective review of 63 consecutive patients (24 laparoscopic and 39 robotic) who underwent inguinal hernia repair between December 2012-December 2014 at a single institution by a single surgeon...
September 2016: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/23877764/totally-extraperitoneal-inguinal-hernia-repair-in-patients-previously-having-prostatectomy-is-feasible-safe-and-effective
#8
COMPARATIVE STUDY
Philip Le Page, Ania Smialkowski, Jonathan Morton, Douglas Fenton-Lee
BACKGROUND: The laparoscopic approach to repair of inguinal hernia has proven advantages over open repair. Repair of more technically challenging hernias, such as patients previously receiving prostatectomy, has been less studied and may not have these advantages. We aimed to compare safety, feasibility, and clinical outcomes for repairs in patients who previously underwent prostatectomy to control subjects. METHODS: We undertook a case-control study using a prospectively collected database...
December 2013: Surgical Endoscopy
https://www.readbyqxmd.com/read/21355775/different-approaches-to-an-inguinal-hernia-repair-during-a-simultaneous-robot-assisted-radical-prostatectomy
#9
Leah Y Nakamura, Rafael N Nunez, Erik P Castle, Paul E Andrews, Mitchell R Humphreys
OBJECTIVES: To determine if different approaches to an inguinal hernia repair (robotic, laparoscopic, or open) results in different outcomes during a simultaneous robot-assisted radical prostatectomy (RARP). METHODS: We performed a retrospective review of a prospectively generated database of all RARPs performed at our institution. Patients who had a simultaneous inguinal hernia repair were identified. We compared them to an age-matched and body mass index-matched cohort who underwent RARP alone...
April 2011: Journal of Endourology
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