Parastomal and Lateral Defects

Abdalla, René Jorge; Costa, Thiago Nogueira; Gontijo, Cassio Eduardo Silva

doi:10.1007/978-3-319-55527-0_6

Robotic Surgery for Abdominal Wall Hernia Repair 2017

DOI: 10.1007/978-3-319-55527-0_6

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Parastomal and Lateral Defects

René Jorge Abdalla

Thiago Nogueira Costa

Cassio Eduardo Silva Gontijo

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2022

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Cited by 1 publication

References 26 publications

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Feasibility of robotic repair of parastomal hernias

Schmitt,

Albaugh,

LeBlanc

2022

International Journal of Abdominal Wall and Hernia Surgery

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BACKGROUND: Parastomal hernias present a common complex surgical problem that has a severe clinical impact on quality of life. Several techniques for repair have been described with open or minimally invasive techniques, although recurrence and reoperation continue to be common problems. In the following, a case series utilizing a technique for a minimally invasive repair using the Di Vinci robotic platform for a mesh-reinforced, modified Sugarbaker repair is described. STUDY DESIGN: This study is a retrospective review of 24 cases of robotic-assisted parastomal hernia repairs performed by a single surgeon from 2014 to 2020. Primary endpoints of interest were operative times and length of stay, as well as postoperative complications. RESULTS: Twenty-four patients were included in the study. The average operative time was 194.8 min (range: 95–378 min) and the average console time was 149.5 min (range: 72–319 min). The average length of stay was 3.9 days. No patients required conversion to either a laparoscopic or an open procedure, although two complications required reoperation. Twelve patients developed minor complications, including four who developed a postoperative seroma, but none of them required surgical intervention. CONCLUSIONS: This is the first and largest series describing a technique for a robotic-assisted parastomal hernia repair. This shows that this procedure can be reliably undertaken with the robotic platform with consistent and reproducible results and few complications. Further long-term research will be needed as new robotic techniques evolve and patients will need follow-up regarding recurrence rates and any late complications evaluated.

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Feasibility of robotic repair of parastomal hernias

Schmitt,

Albaugh,

LeBlanc

2022

International Journal of Abdominal Wall and Hernia Surgery

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Parastomal and Lateral Defects

Cited by 1 publication

References 26 publications

Feasibility of robotic repair of parastomal hernias

Feasibility of robotic repair of parastomal hernias

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