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robotic inguinal hernia

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https://www.readbyqxmd.com/read/28507989/diagnostic-laparoscopy-as-decision-tool-for-re-recurrent-inguinal-hernia-treatment-following-open-anterior-and-laparo-endoscopic-posterior-repair
#1
Ferdinand Köckerling, Christine Schug-Pass
INTRODUCTION: The guidelines of the international hernia societies recommend posterior repair in laparo-endoscopic technique for recurrent inguinal hernia after open anterior mesh repair and, conversely, open anterior repair for recurrence after laparo-endoscopic primary repair. Even when these guidelines are followed, already 1 year after repair a re-recurrence rate of 1-2% must be expected, with that rate rising further in the subsequent years. Accordingly, increasingly more patients with re-recurrence after anterior and posterior mesh implantation must be treated, which constitutes a problem that to date has been investigated in only very few studies...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/28417428/outcomes-of-minimally-invasive-inguinal-hernia-repair-at-the-time-of-robotic-radical-prostatectomy
#2
REVIEW
Francois G Soto-Palou, Ricardo F Sánchez-Ortiz
Abdominal straining associated with voiding dysfunction or constipation has traditionally been associated with the development of abdominal wall hernias. Thus, classic general surgery dictum recommends that any coexistent bladder outlet obstruction should be addressed by the urologist before patients undergo surgical repair of a hernia. While organ-confined prostate cancer is usually not associated with the development of lower urinary tract symptoms, a modest proportion of patients treated with radical prostatectomy may have coexisting benign prostatic hyperplasia with elevated symptom scores and hernias may be incidentally detected at the time of surgery...
June 2017: Current Urology Reports
https://www.readbyqxmd.com/read/28417427/extraperitoneal-robot-assisted-radical-prostatectomy-indications-technique-and-outcomes
#3
REVIEW
Alice Semerjian, Christian P Pavlovich
PURPOSE OF REVIEW: Extraperitoneal robot-assisted radical prostatectomy (eRARP) is an alternative to the more commonly employed transperitoneal RARP (tRARP) for treatment of clinically localized prostate cancer. The purpose of this review is to discuss indications in which eRARP would be a more favorable approach in comparison to tRARP. In addition, we will discuss the safety and technique of eRARP. RECENT FINDINGS: Recently published work has highlighted the outcomes and safety of eRARP in comparison to tRARP; specifically that eRARP is not inferior to tRARP...
June 2017: Current Urology Reports
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...
March 23, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28302122/incidence-and-risk-factors-of-inguinal-hernia-after-robot-assisted-radical-prostatectomy
#5
Yuta Yamada, Tetsuya Fujimura, Hiroshi Fukuhara, Toru Sugihara, Kotaro Takemura, Shigenori Kakutani, Motofumi Suzuki, Tohru Nakagawa, Haruki Kume, Yasuhiko Igawa, Yukio Homma
BACKGROUND: Robot-assisted radical prostatectomy (RARP) has now become a gold standard approach in radical prostatectomy. The aim of this study was to investigate incidence and risk factors of inguinal hernia (IH) after RARP. METHODS: This study included 307 consecutive men who underwent RARP for the treatment of prostate cancer from January 2011 to August 2015. The incidence of IH after RARP was investigated. Clinical and pathological factors were also investigated to assess relationship with development of postoperative IH...
March 16, 2017: World Journal of Surgical Oncology
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
#6
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...
February 3, 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
#7
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...
January 24, 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/28073298/extraperitoneal-vs-transperitoneal-robot-assisted-radical-prostatectomy-in-the-setting-of-prior-abdominal-or-pelvic-surgery
#8
David Horovitz, Changyong Feng, Edward M Messing, Jean V Joseph
INTRODUCTION: During robot-assisted radical prostatectomy (RARP), the prostate may be approached extraperiteoneally (extraperitoneal robot-assisted radical prostatectomy [eRARP]) or transperitoneally (transperitoneal robot-assisted radical prostatectomy [tRARP]). The former avoids the abdominal cavity, which might be of benefit in patients who have had prior abdominal or pelvic surgery (PAPS). Our objective was to compare the outcomes of patients with PAPS undergoing either technique...
April 2017: Journal of Endourology
https://www.readbyqxmd.com/read/27878458/totally-extraperitoneal-tep-bilateral-hernioplasty-using-the-single-site%C3%A2-robotic-da-vinci-platform-dv-ss-tep-description-of-the-technique-and-preliminary-results
#9
A Cestari, A C Galli, M N Sangalli, M Zanoni, M Ferrari, G Roviaro
PURPOSE: Laparoendoscopic single site totally extraperitoneal (TEP) hernia repair showed to be a feasible alternative to conventional laparoscopic hernia repair; nevertheless single site surgery, with the loss of instruments triangulation can be a demanding procedure. To overcome those hurdles, the Single Site® (SS) platform of the da Vinci (DV) Si robotic system enables to perform surgical procedures through a 25-mm skin incision, with a stable 3D vision and restoring an adequate triangulation of the surgical instruments...
November 22, 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/27779996/robotic-inguinal-hernia-repair-technique-and-early-experience
#10
Massimo Arcerito, Eric Changchien, Oscar Bernal, Adam Konkoly-Thege, John Moon
Laparoscopic inguinal hernia repair has been shown to have multiple advantages compared with open repair such as less postoperative pain and earlier resume of daily activities with a comparable recurrence rate. We speculate robotic inguinal hernia repair may yield equivalent benefits, while providing the surgeon added dexterity. One hundred consecutive robotic inguinal hernia repairs with mesh were performed with a mean age of 56 years (25-96). Fifty-six unilateral hernias and 22 bilateral hernias were repaired amongst 62 males and 16 females...
October 2016: American Surgeon
https://www.readbyqxmd.com/read/27728950/robotic-hernia-repair
#11
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 26, 2016: Surgical Technology International
https://www.readbyqxmd.com/read/27678856/robotic-excision-of-migrated-inguinal-hernia-mesh-into-the-paravesical-space
#12
A Petrikovets, A Shapiro, K Shakiba
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27667913/first-101-robotic-general-surgery-cases-in-a-community-hospital
#13
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/27575356/minimally-invasive-hernia-repair-in-robot-assisted-radical-prostatectomy
#14
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
https://www.readbyqxmd.com/read/27498197/incidence-risk-factors-and-a-novel-prevention-technique-for-inguinal-hernia-after-robot-assisted-radical-prostatectomy
#15
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...
2017: Urologia Internationalis
https://www.readbyqxmd.com/read/27456274/minimally-invasive-hernia-repair-in-robot-assisted-radical-prostatectomy
#16
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
https://www.readbyqxmd.com/read/27438038/robotic-assisted-single-site-for-bilateral-inguinal-hernia-repair
#17
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
https://www.readbyqxmd.com/read/27340230/small-bowel-obstruction-caused-by-self-anchoring-suture-used-for-peritoneal-closure-following-robotic-inguinal-hernia-repair
#18
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...
June 23, 2016: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/27139704/cost-analysis-of-robotic-versus-laparoscopic-general-surgery-procedures
#19
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...
January 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/27112781/comparison-of-robotic-versus-laparoscopic-transabdominal-preperitoneal-tapp-inguinal-hernia-repair
#20
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
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