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https://www.readbyqxmd.com/read/27830430/evolution-of-male-rectal-prolapse-surgery-and-initial-experience-of-robotic-rectopexy-in-men
#1
Arifa Siddika, Sunita Saha, Shahab Siddiqi
Laparoscopic ventral mesh rectopexy (LVMR) has proven benefit in the treatment of external rectal prolapse and symptomatic internal rectal prolapse in women. However, there is a recurrence rate of 4-50% depending on indication. Some of this recurrence is attributable to persistent lateral and posterior prolapses. Modifications of LVMR (modified Orr-Loygue rectopexies) describe an additional narrow posterior rectal mesh fixed to the mesorectal fat, which is inherently insecure. Additional complications in men include sexual dysfunction caused by nerve damage from the ventral rectal dissection...
November 9, 2016: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27739941/biomechanical-evaluation-of-the-craniovertebral-junction-after-unilateral-joint-sparing-condylectomy-implications-for-the-far-lateral-approach-revisited
#2
Varun R Kshettry, Andrew T Healy, Robb Colbrunn, Dylan T Beckler, Edward C Benzel, Pablo F Recinos
OBJECTIVE The far lateral transcondylar approach to the ventral foramen magnum requires partial resection of the occipital condyle. Early biomechanical studies suggest that occipitocervical (OC) fusion should be considered if 50% of the condyle is resected. In clinical practice, however, a joint-sparing condylectomy has often been employed without the need for OC fusion. The biomechanics of the joint-sparing technique have not been reported. Authors of the present study hypothesized that the clinically relevant joint-sparing condylectomy would result in added stability of the craniovertebral junction as compared with earlier reports...
October 14, 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27728955/laparoscopic-stapled-sublay-repair-with-self-gripping-mesh-a-simplified-technique-for-minimally-invasive-extraperitoneal-ventral-hernia-repair
#3
Alexandra M Moore, Lisa N Anderson, David C Chen
INTRODUCTION: Minimally invasive laparoscopic and robotic techniques for ventral hernia repair have evolved to achieve the benefits and minimize the limitations of both the open Rives-Stoppa sublay mesh repair and laparoscopic intraperitoneal onlay mesh (IPOM) repair. By combining the principles of a retromuscular repair with the benefits of a minimally invasive approach, these techniques attempt to decrease recurrence, increase functionality, exclude mesh from the viscera, limit infection and wound complications, and minimize pain...
October 6, 2016: Surgical Technology International
https://www.readbyqxmd.com/read/27728950/robotic-hernia-repair
#4
Nathaniel Stoikes, David Webb, Guy Voeller
The use of the da Vinci robot for inguinal and ventral hernia repair has exponentially increased over the last five years. This increase is occurring in spite of historical cost analyses showing robotic surgery to be cost prohibitive for other general surgery procedures. Specific data regarding outcomes and cost analysis for hernia is lacking. The increase in robotic hernia repairs is likely related to intangible factors such as enhanced visualization, articulating instruments, and hospital resources. Further study of robotic hernia repair is needed prospectively as its use increases to delineate the true benefits...
October 6, 2016: Surgical Technology International
https://www.readbyqxmd.com/read/27667913/first-101-robotic-general-surgery-cases-in-a-community-hospital
#5
Rodolfo J Oviedo, Jarrod C Robertson, Sharifah Alrajhi
BACKGROUND AND OBJECTIVES: The general surgeon's robotic learning curve may improve if the experience is classified into categories based on the complexity of the procedures in a small community hospital. The intraoperative time should decrease and the incidence of complications should be comparable to conventional laparoscopy. The learning curve of a single robotic general surgeon in a small community hospital using the da Vinci S platform was analyzed. METHODS: Measured parameters were operative time, console time, conversion rates, complications, surgical site infections (SSIs), surgical site occurrences (SSOs), length of stay, and patient demographics...
July 2016: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/27602928/robot-assisted-sacrocolporectopexy-for-multicompartment-prolapse-of-the-pelvic-floor-a-prospective-cohort-study-evaluating-functional-and-sexual-outcome
#6
Jan J van Iersel, Chris J de Witte, Paul M Verheijen, Ivo A M J Broeders, Egbert Lenters, Esther C J Consten, Steven E Schraffordt Koops
BACKGROUND: Pelvic floor disorders are a major public health issue. For female genital prolapse, sacrocolpopexy is the gold standard. Laparoscopic ventral mesh rectopexy is a relatively new and promising technique correcting rectal prolapse. There is no literature combining the 2 robotically assisted techniques. OBJECTIVE: This study was designed to evaluate the safety, quality of life, and functional and sexual outcomes of robot-assisted sacrocolporectopexy for multicompartment prolapse of the pelvic floor...
October 2016: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/27582654/optimizing-treatment-for-rectal-prolapse
#7
Jennifer Hrabe, Brooke Gurland
Rectal prolapse is associated with debilitating symptoms and leads to both functional impairment and anatomic distortion. Symptoms include rectal bulge, mucous drainage, bleeding, incontinence, constipation, tenesmus, as well as discomfort, pressure, and pain. The only cure is surgical. The optimal surgical repair is not yet defined though laparoscopic rectopexy with mesh is emerging as a more durable approach. The chosen approach should be individually tailored, taking into account factors such as presence of pelvic floor defects and coexistence of vaginal prolapse, severe constipation, surgical fitness, and whether the patient has had a previous prolapse procedure...
September 2016: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/27530905/day-case-robotic-ventral-rectopexy-compared-with-day-case-laparoscopic-ventral-rectopexy-a-prospective-study
#8
J-L Faucheron, B Trilling, S Barbois, P-Y Sage, P-A Waroquet, F Reche
BACKGROUND: Ventral rectopexy to the promontory has become one of the most strongly advocated surgical treatments for patients with full-thickness rectal prolapse and deep enterocele. Despite its challenges, laparoscopic ventral rectopexy with or without robotic assistance for selected patients can be performed with relatively minimal patient trauma thus creating the potential for same-day discharge. The aim of this prospective case-controlled study was to assess the feasibility, safety, and cost of day case robotic ventral rectopexy compared with routine day case laparoscopic ventral rectopexy...
October 2016: Techniques in Coloproctology
https://www.readbyqxmd.com/read/27495347/robotic-assisted-ventral-hernia-repair-a-multicenter-evaluation-of-clinical-outcomes
#9
Anthony Gonzalez, Ernesto Escobar, Rey Romero, Gail Walker, Jacqueline Mejias, Michelle Gallas, Eugene Dickens, Christopher J Johnson, Jorge Rabaza, Omar Yusef Kudsi
BACKGROUND: The open approach continues to be widely performed for ventral hernia repair, while the minimally invasive laparoscopic approach has grown adoption over the last decade. Recently, robotic operation was described as a new modality due to the ease for performing intracorporeal closure of the hernia defect. This study is one of the first multi-institutional case series evaluating robotic-assisted laparoscopic ventral hernia repairs, with the goal of describing robotic-assisted surgical techniques for ventral and incisional hernia repair and the outcomes in teaching and community hospital settings...
August 5, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27450207/outcomes-of-robot-assisted-versus-laparoscopic-repair-of-small-sized-ventral-hernias
#10
Y Julia Chen, Desmond Huynh, Scott Nguyen, Edward Chin, Celia Divino, Linda Zhang
INTRODUCTION: The aim of the study is to investigate the outcomes of the da Vinci robot-assisted laparoscopic hernia repair of small-sized ventral hernias with circumferential suturing of the mesh compared to the traditional laparoscopic repair with trans-fascial suturing. METHODS: A retrospective review was conducted of all robot-assisted umbilical, epigastric and incisional hernia repairs performed at our institution between 2013 and 2015 compared to laparoscopic umbilical or epigastric hernia repairs...
July 22, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27440635/perioperative-assessment-of-regional-ventilation-during-changing-body-positions-and-ventilation-conditions-by-electrical-impedance-tomography
#11
A Ukere, A März, K H Wodack, C J Trepte, A Haese, A D Waldmann, S H Böhm, D A Reuter
BACKGROUND: Lung-protective ventilation is claimed to be beneficial not only in critically ill patients, but also in pulmonary healthy patients undergoing general anaesthesia. We report the use of electrical impedance tomography for assessing regional changes in ventilation, during both spontaneous breathing and mechanical ventilation, in patients undergoing robot-assisted radical prostatectomy. METHODS: We performed electrical impedance tomography measurements in 39 patients before induction of anaesthesia in the sitting (M1) and supine position (M2), after the start of mechanical ventilation (M3), during capnoperitoneum and Trendelenburg positioning (M4), and finally, in the supine position after release of capnoperitoneum (M5)...
August 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27419223/robotic-repair-of-ventral-hernias-preliminary-findings-of-a-case-series-of-106-consecutive-cases
#12
Omar Yusef Kudsi, Nivedh Paluvoi, Partha Bhurtel, Zachary McCabe, Raneem El-Jabri
No abstract text is available yet for this article.
December 2015: American Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27275090/current-status-of-laparoscopic-and-robotic-ventral-mesh-rectopexy-for-external-and-internal-rectal-prolapse
#13
REVIEW
Jan J van Iersel, Tim J C Paulides, Paul M Verheijen, John W Lumley, Ivo A M J Broeders, Esther C J Consten
External and internal rectal prolapse with their affiliated rectocele and enterocele, are associated with debilitating symptoms such as obstructed defecation, pelvic pain and faecal incontinence. Since perineal procedures are associated with a higher recurrence rate, an abdominal approach is commonly preferred. Despite the description of greater than three hundred different procedures, thus far no clear superiority of one surgical technique has been demonstrated. Ventral mesh rectopexy (VMR) is a relatively new and promising technique to correct rectal prolapse...
June 7, 2016: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/27250828/anatomical-and-functional-changes-to-the-pelvic-floor-after-robotic-versus-laparoscopic-ventral-rectopexy-a-randomised-study
#14
Johanna K Mäkelä-Kaikkonen, Tero T Rautio, Sari Koivurova, Eija Pääkkö, Pasi Ohtonen, Fausto Biancari, Jyrki T Mäkelä
INTRODUCTION AND HYPOTHESIS: To compare the effect of laparoscopic and robot-assisted ventral rectopexy for posterior compartment procidentia on the pelvic floor anatomy and function. METHODS: A prospective randomised single-centre study was carried out of 29 female patients, who underwent robot-assisted or laparoscopic ventral mesh rectopexy for external or internal rectal prolapse with symptoms of obstructive defecation and/or faecal incontinence. Anatomical changes were measured by Pelvic Organ Prolapse Quantification (POP-Q) and magnetic resonance defecography...
December 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27142938/nasoseptal-flap-for-reconstruction-after-robotic-radical-tonsillectomy
#15
Carlos D Pinheiro-Neto, Lisa T Galati
BACKGROUND: The nasoseptal flap has revolutionized reconstruction of ventral skull base defects. The past decade is also noticeable by the evolution of transoral robotic surgery (TORS). Reconstruction of the oropharyngeal defect is challenging. Good reconstructive options with less cicatricial retraction are desirable and still lacking in the literature. METHODS: Cadaver dissection and illustrative case are used to show the feasibility of harvesting a nasoseptal flap to reconstruct oropharyngeal defect after radical tonsillectomy...
September 2016: Head & Neck
https://www.readbyqxmd.com/read/27061791/short-and-mid-term-outcomes-of-robotic-assisted-total-mesorectal-excision-for-the-treatment-of-rectal-cancer-our-experience-after-198-consecutive-cases
#16
COMMENT
M Gómez Ruiz, J Alonso Martin, C Cagigas Fernández, J I Martín Parra, H Real Noval, B Martín Rivas, E Toledo Martínez, J Castillo Diego, M Gómez Fleitas
BACKGROUND: Robot-assisted total mesorectal excision is a safe alternative for rectal cancer treatment. Nevertheless, substantial data is still missing. Our aim was to assess the perioperative and oncological outcomes of the routine use of the robotic-assisted approach for rectal cancer treatment. PATIENTS AND METHODS: 198 Consecutive robotic rectal resections were performed between January 2011 and April 2015 in patients with stage I-IV disease. We prospectively evaluated peri and postoperative data, pathological findings and mid-term oncological outcomes...
June 2016: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/26941547/robot-assisted-transabdominal-preperitoneal-ventral-hernia-repair
#17
Gainosuke Sugiyama, Sitaram Chivukula, Paul J Chung, Antonio Alfonso
BACKGROUND AND OBJECTIVES: We believe that complications due to the mesh used in ventral hernia repairs can be reduced by using the natural barrier afforded by the peritoneum. This can be challenging to do laparoscopically, however we felt that the robot-assisted laparoscopic approach reduces the difficulty in placing the mesh in the preperitoneal space, and we want to share our early experiences with this approach. We describe the surgical technique used in robot-assisted laparoscopic transabdominal preperitoneal (TAPP) ventral hernia repair with mesh...
October 2015: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/26919191/robot-assisted-vs-laparoscopic-ventral-rectopexy-for-external-or-internal-rectal-prolapse-and-enterocele-a-randomized-controlled-trial
#18
J Mäkelä-Kaikkonen, T Rautio, E Pääkkö, F Biancari, P Ohtonen, J Mäkelä
AIM: The purpose of this prospective randomized study was to compare robot-assisted and laparoscopic ventral rectopexy procedures for posterior compartment procidentia in terms of restoration of the anatomy using magnetic resonance (MR) defaecography. METHOD: Sixteen female patients (four with total prolapse, twelve with intussusception) underwent robot-assisted ventral mesh rectopexy (RVMR) and 14 female patients (two with prolapse, twelve with intussusception) laparoscopic ventral mesh rectopexy (LVMR)...
October 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/26902612/robotic-complete-mesocolic-excision-for-right-sided-colon-cancer
#19
Volkan Ozben, Bilgi Baca, Deniz Atasoy, Onur Bayraktar, Afag Aghayeva, Turgut Bora Cengiz, Ilknur Erguner, Tayfun Karahasanoglu, Ismail Hamzaoglu
Complete mesocolic excision (CME) with central vascular ligation for right-sided colon cancer has been proven to provide superior oncologic outcomes and survival advantage when compared to standard lymphadenectomy [1]. A number of studies comparing conventional laparoscopic versus open CME have shown feasibility and safety of the laparoscopic approach with acceptable oncological profile and postoperative outcomes [2, 3]. The introduction of robotic systems with its technical advantages, including improved vision, better ergonomics and precise dissection, has further revolutionized minimally invasive approach in colorectal surgery...
October 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/26777989/herniation-formation-in-women-undergoing-robotically-assisted-laparoscopy-or-laparotomy-for-endometrial-cancer
#20
COMPARATIVE STUDY
Maria B Schiavone, Maciej S Bielen, Ginger J Gardner, Oliver Zivanovic, Elizabeth L Jewell, Yukio Sonoda, Richard R Barakat, Dennis S Chi, Nadeem R Abu-Rustum, Mario M Leitao
OBJECTIVE: To compare the incidence of trocar site hernia in women who underwent robotically assisted laparoscopic surgery (RBT) for endometrial cancer staging with the incidence of ventral hernia formation in patients who underwent laparotomy (LAP) for the same indication. To analyze risk factors for hernia formation in women undergoing RBT for endometrial cancer. METHODS: We retrospectively identified all patients who underwent surgical staging for endometrial cancer via RBT or LAP from 2009-2012...
March 2016: Gynecologic Oncology
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