Georgios Orthopoulos1,2, Omar Yusef Kudsi2,3. 1. 1 Department of General Surgery, Saint Elizabeth's Medical Center , Brighton, Massachusetts. 2. 2 Department of Surgery, Tufts University School of Medicine , Boston, Massachusetts. 3. 3 Department of General Surgery, Good Samaritan Medical Center , Brockton, Massachusetts.
Abstract
PURPOSE: Published results from mesh placement in the preperitoneal space between the posterior fascia and peritoneum for ventral hernia repair are limited. We describe our initial experience regarding the feasibility of a robotic-assisted transabdominal preperitoneal (rTAPP) ventral hernia repair. METHODS: The study is a retrospective review and descriptive analysis of consecutive and prospectively collected data regarding rTAPP ventral hernia repair conducted by a single surgeon between 2014 and 2016. RESULTS: Fifty-four consecutive rTAPP ventral hernia repairs were performed, and all but two cases were elective. Indications were: 41 primary ventral, 5 incisional, 3 lumbar, 2 Spigelian, 1 recurrent incisional, 1 combined flank and inguinal, and 1 combined primary ventral and inguinal. The mean operative time was 73 minutes (range 25-217 minutes). The average hernia defect was 9.7 cm2, whereas the average size of synthetic mesh was 178 cm2. Forty-six cases were completed through an rTAPP approach, and 8 were via partial rTAPP due to multiple peritoneal defects. Estimated blood loss was 5-10 mL. Forty-nine patients were treated on an outpatient basis. Two complications occurred: symptomatic seroma requiring aspiration in the office and rectus sheath hematoma requiring hospital readmission and blood transfusion. CONCLUSIONS: Our study results support the safe and effective placement of mesh in the preperitoneal space via the use of robotic technology, and they represent the largest single-surgeon series of robotic-assisted TAPP ventral hernia repair. Large, multicenter prospective trials could further elucidate the potential benefits and the long-term outcomes from this approach.
PURPOSE: Published results from mesh placement in the preperitoneal space between the posterior fascia and peritoneum for ventral hernia repair are limited. We describe our initial experience regarding the feasibility of a robotic-assisted transabdominal preperitoneal (rTAPP) ventral hernia repair. METHODS: The study is a retrospective review and descriptive analysis of consecutive and prospectively collected data regarding rTAPP ventral hernia repair conducted by a single surgeon between 2014 and 2016. RESULTS: Fifty-four consecutive rTAPP ventral hernia repairs were performed, and all but two cases were elective. Indications were: 41 primary ventral, 5 incisional, 3 lumbar, 2 Spigelian, 1 recurrent incisional, 1 combined flank and inguinal, and 1 combined primary ventral and inguinal. The mean operative time was 73 minutes (range 25-217 minutes). The average hernia defect was 9.7 cm2, whereas the average size of synthetic mesh was 178 cm2. Forty-six cases were completed through an rTAPP approach, and 8 were via partial rTAPP due to multiple peritoneal defects. Estimated blood loss was 5-10 mL. Forty-nine patients were treated on an outpatient basis. Two complications occurred: symptomatic seroma requiring aspiration in the office and rectus sheath hematoma requiring hospital readmission and blood transfusion. CONCLUSIONS: Our study results support the safe and effective placement of mesh in the preperitoneal space via the use of robotic technology, and they represent the largest single-surgeon series of robotic-assisted TAPP ventral hernia repair. Large, multicenter prospective trials could further elucidate the potential benefits and the long-term outcomes from this approach.
Authors: S Kapoulas; A Papalois; G Papadakis; G Tsoulfas; E Christoforidis; B Papaziogas; D Schizas; G Chatzimavroudis Journal: Hernia Date: 2021-01-05 Impact factor: 4.739
Authors: Oscar A Olavarria; Karla Bernardi; Shinil K Shah; Todd D Wilson; Shuyan Wei; Claudia Pedroza; Elenir B Avritscher; Michele M Loor; Tien C Ko; Lillian S Kao; Mike K Liang Journal: BMJ Date: 2020-07-14
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