Read by QxMD icon Read

robotic inguinal hernia

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
A Petrikovets, A Shapiro, K Shakiba
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
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
Kamaljot Kaler, Simone L Vernez, Matthew Dolich
Inguinal hernia is a recognized complication of radical prostatectomy. Previous hernia repair, wound infection, midline incision, low body mass index, and preexisting or subclinical hernia contribute to the risk of inguinal hernia after radical prostatectomy. Concomitant hernia repair at the time of pelvic surgery has risks and benefits. Repair during surgery prevents future hernia-related complications and saves the need for an additional procedure. However, hernia repair at the time of radical prostatectomy includes the risk of mesh infection, postoperative pain, adhesions, lack of experience, and overall minimal risk with watchful waiting...
October 2016: Journal of Endourology
Masaki Shimbo, Fumiyasu Endo, Kazuhito Matsushita, Toshihisa Iwabuchi, Akiko Fujisaki, Yoko Kyono, Kohsuke Hishiki, Osamu Muraishi, Kazunori Hattori
INTRODUCTION: To evaluate the incidence and risk factors for postoperative inguinal hernia (IH) after robot-assisted radical prostatectomy (RARP) and to assess whether a newly developed prevention technique reduces the incidence of IH after RARP. METHODS: We included 161 consecutive patients (322 groins) who underwent RARP between September 2011 and October 2013. The prevention technique was as follows: (1) sufficient incision of peritoneum around the internal inguinal ring; (2) separation of spermatic vessels; (3) dissection of vas deferens...
August 6, 2016: Urologia Internationalis
Kamaljot Kaler, Simone Lucia Vernez, Matt Dolich
Inguinal hernia is a recognized complication of radical prostatectomy. Previous hernia repair, wound infection, midline incision, low BMI, and preexisting or subclinical hernia contribute to the risk of inguinal hernia following radical prostatectomy. Concomitant hernia repair at the time of pelvic surgery has risks and benefits. Repair during surgery prevents future hernia-related complications and saves the need for an additional procedure. However, hernia repair at the time of radical prostatectomy includes the risk of mesh infection, post-operative pain, adhesions, lack of experience, and overall minimal risk with watchful waiting...
July 25, 2016: Journal of Endourology
Henrique Rasia Bosi, José Ricardo Guimarães, Leandro Totti Cavazzola
BACKGROUND: The inguinal hernia is one of the most frequent surgical diseases, being frequent procedure and surgeon´s everyday practice. AIM: To present technical details in making hernioplasty using robotic equipment on bilateral inguinal hernia repair with single port and preliminary results with the method. METHOD: The bilateral inguinal hernia repair was performed by using the Single-Site(c) Da Vinci Surgical Access Platform to the abdominal cavity and the placement of clamps...
April 2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Faraz A Khan, Asra Hashmi, David A Edelman
Laparoscopic inguinal herniorraphy is a commonly performed procedure given the reported decrease in pain and earlier return to activity when compared with the open approach. Moreover, robotic assistance offers the operating surgeon considerable ergonomic advantages, making it an attractive alternative to conventional laparoscopic herniorraphy. Robotic herniorraphy utilizes the transabdominal preperitoneal approach where following repair peritoneal closure is necessary to avoid mesh exposure to the viscera. Self-anchoring sutures are frequently used to this end given the ease of use and knotless application...
2016: Journal of Surgical Case Reports
Rana M Higgins, Matthew J Frelich, Matthew E Bosler, Jon C Gould
BACKGROUND: Robotic surgical systems have been used at a rapidly increasing rate in general surgery. Many of these procedures have been performed laparoscopically for years. In a surgical encounter, a significant portion of the total costs is associated with consumable supplies. Our hospital system has invested in a software program that can track the costs of consumable surgical supplies. We sought to determine the differences in cost of consumables with elective laparoscopic and robotic procedures for our health care organization...
May 2, 2016: Surgical Endoscopy
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
Ricardo F Sánchez-Ortiz, Carolina Andrade-Geigel, Héctor López-Huertas, Ronald Cadillo-Chávez, Omar Soto-Avilés
PURPOSE: Studies have shown that encountering an inguinal hernia during robotic radical prostatectomy is not uncommon. We reviewed our experience with simultaneous robotic prostatectomy and mesh hernia repair to identify variables predictive of a hernia. MATERIALS AND METHODS: Our cohort consisted of 693 consecutive men who underwent robotic radical prostatectomy as performed by 1 surgeon. Hernias were repaired with mesh composed of equal parts of absorbable polyglecaprone-25 and nonabsorbable polypropylene monofilament...
June 2016: Journal of Urology
Panagiotis Mourmouris, Omer Burak Argun, Ilter Tufek, Can Obek, Andreas Skolarikos, Mustafa Bilal Tuna, Selcuk Keskin, Ali Riza Kural
OBJECTIVE: To report our experience with concomitant hernia repair during robot-assisted radical prostatectomy (RARP) with a nonprosthetic and tissue-based technique. METHODS: We conducted a retrospective review on 1005 consecutive patients who underwent RARP between the years 2005 and 2015. Twenty-nine patients, who underwent 37, concurrent, direct, inguinal hernia repairs, were identified (group 1) and compared to a match control group of 29 patients who underwent RARP without hernia repair (group 2)...
February 2016: Journal of Endourology
Hasan A R Qazi, Bhavan Prasad Rai, Minh Do, Matthew Rewhorn, Tim Häfner, Evangelos Liatsikos, Panagiotis Kallidonis, Anja Dietel, Jens Uwe Stolzenburg
INTRODUCTION: To describe the technique of total extraperitoneal inguinal hernia repair performed during Robot-assisted Endoscopic Extraperitoneal Radical Prostatectomy (R-EERPE) and to present the initial outcomes. MATERIAL AND METHODS: 12 patients underwent inguinal hernia repair during 120 R-EERPEs performed between July 2011 and March 2012. All patients had a clinically palpable inguinal hernia preoperatively. The hernia was repaired using a Total Extraperitoneal Patch (TEP) at the end of the procedure...
2015: Central European Journal of Urology
Jose E Escobar Dominguez, Anthony Gonzalez, Charan Donkor
Inguinal hernias have been described throughout the history of medicine with many efforts to achieve the cure. Currently, with the advantages of minimally invasive surgery, new questions arise: what is going to be the best approach for inguinal hernia repair? Is there a real benefit with the robotic approach? Should minimally invasive hernia surgery be the standard of care? In this report we address these questions by describing our experience with robotic inguinal hernia repair.
September 2015: Journal of Surgical Oncology
Ahmed H Al-Shareef, Yigit Akin, Turky Almouhissen, Jens Rassweiler, Mohammed Saad Alshehri, Ali Serdar Gözen, Dogu Teber
PURPOSE: To evaluate results of an extraperitoneal robot-assisted laparoscopic radical prostatectomy (e-RALP) series considering patients with previous laparoscopic inguinal hernia repair (LIHR). METHODS: We investigated our e-RALP database between March 2008 and August 2014. Age, prostate-specific antigen, prostate volume, and Gleason score were considered as criteria of matched pair analyses. Group 1 consisted of 32 patients who underwent e-RALP with previous LIHR using mesh, and Group 2 consisted of a similar 32 patients without previous LIHR...
October 2015: Journal of Endourology
David S Finley, Dominic Savatta, Esequiel Rodriguez, Adam Kopelan, Thomas E Ahlering
Patients undergoing radical prostatectomy are at increased risk of development of post-operative inguinal hernias (IH). We present the largest series of transperitoneal combined robotic-assisted laparoscopic prostatectomy (RALP) and IH. After IRB approval, data from patients undergoing RALP at two centers were prospectively entered into a database and analyzed. IH were repaired robotically via a transperitoneal route with mesh. Between June 2002 and May 2007, 837 RALPs were performed, 80 of which included combined IH repair (9...
2008: Journal of Robotic Surgery
Todd A Ponsky, Iuliana D Bobanga, Marc Schwachter, Theodore H Stathos, Michael Rosen, Robert Parry, Margaret Nalugo, Steven S Rothenberg
PURPOSE: To evaluate different technologies that can facilitate telementoring in a variety of pediatric surgical procedures. MATERIALS AND METHODS: Two different telementoring technologies were used to provide two-way audio and visual communication between experienced pediatric surgeon mentors located in another city and less experienced trainees performing a surgical procedure. The first technology consisted of store-bought equipment that connected the operating room laparoscope to a Skype™ (Microsoft, Redmond, WA) connection (used in 1 case), whereas the second was a proprietary telementoring robot, Karl Storz Endoscopy-America, Inc...
December 2014: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
C Engan, M Engan, V Bonilla, D C Dyer, B R Randall
BACKGROUND: The aim of our study is to report our initial clinical experience with robotically assisted single-site transabdominal preperitoneal (RASS-TAPP) hernia repair, to verify the safety and efficacy of the procedure and to describe the surgical procedure. METHODS: We retrospectively reviewed all patients undergoing RASS-TAPP at our institution from March 2013 through December 2013. Data regarding patient demographics, type and location of hernia, operative time and clinical outcomes were collected and analyzed...
June 2015: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Lawrence N Cetrulo, Justin Harmon, Jorge Ortiz, Daniel Canter, Amit R T Joshi
BACKGROUND: Robotic surgery is particularly useful in pelvic procedures, such as prostatectomy and low anterior resection. The paper describes a robotic-assisted repair of a giant bladder- and ureter-containing incarcerated inguinal hernia. METHODS AND RESULTS: A 53-year-old man had previously undergone repair of a left inguinal hernia. He presented to our clinic complaining of difficulty urinating and a large bulge in his left scrotum. CT revealed a giant left scrotal hernia containing the bladder and both ureters...
March 2015: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
Stefano C M Picozzi, Cristian Ricci, Luigi Bonavina, Davide Bona, Robert Stubinski, Alberto Macchi, Dario Ratti, Elisabetta Finkelberg, Luca Carmignani
INTRODUCTION: The purpose of this article is to contribute information to the interpretation of the feasibility and outcomes regarding open, laparoscopic and robotic strategies of radical prostatectomy in patients with previous synthetic mesh inguinal hernia repair. MATERIALS AND METHODS: A bibliographic search covering the period from January 1980 to September 2012 was conducted in PubMed, MEDLINE and EMBASE. Database searches yielded 28 references. This analysis is based on the eleven studies that fulfilled the predefined criteria...
January 2015: World Journal of Urology
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"