Robotic Assisted Single Site for Bilateral Inguinal Hernia Repair

Bosi, Henrique Rasia; Guimarães, José Ricardo; Cavazzola, Leandro Totti

doi:10.1590/0102-6720201600020011

Cited by 21 publications

(19 citation statements)

References 8 publications

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“…Increasing the application of single-site robotic surgery has been described through several case reports and case series [15,18,19]. Those reports suggested that the single-site robotic surgery is safe and feasible technique for the surgical treatment of benign and malignant diseases expanded within general, urological, gynecological, and pediatric surgery [15,[18][19][20]. A case series report of the robotic single-site pyeloplasty revealed that it is safely performed for selected patients, such as younger patients (< 45 years) with no prior abdominal surgery [18].…”

Section: Discussionmentioning

confidence: 99%

Robotic Single-Site Hysterectomy versus Robot-Assisted Multiport Hysterectomy in Benign Gynecologic Diseases: A Retrospective Comparison of Clinical and Surgical Outcomes

Park

Lee

et al. 2018

Soonchunhyang Med Sci

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Objective: The purpose of this study was to compare clinical and surgical outcomes of robotic single-site hysterectomy (RSSH) and robot-assisted multiport hysterectomy (RH) in benign disease. Methods: We retrospectively reviewed the medical records of 38 women who underwent RSSH (N= 12) or RH (N= 26) for the treatment of benign uterine disease between June 2015 and November 2017. Results: There were no intergroup differences in parity, comorbidities, and number of previous abdominal surgery. Mean age was older (49.5± 5.05 years vs. 44.4± 3.54 years, P= 0.001) and mean body mass index was higher (27.4± 2.47 kg/m 2 vs. 25.3± 3.12 kg/ m 2 , P = 0.045) in RSSH group than RH group. Surgical outcomes, including operative time (165.0 minutes vs. 159.2 minutes, P= 0.727), estimated blood loss (115.8± 33.15 mL vs. 108.1± 56.42 mL, P= 0.662), uterus weight (445.9± 157.21 g vs. 374.5± 197.91 g, P= 0.291), postoperative hospital stay (5.4± 0.51 days vs. 5.8± 1.20 days, P= 0.289), postoperative hemoglobin change in day 1 (1.8 ± 0.89 g/dL vs. 1.4 ± 1.53 g/dL, P = 0.431) and day 3 (2.1 ± 1.32 g/dL vs. 1.7 ± 1.83 g/dL, P = 0.601), and perioperative complications did not significantly differ between two groups. The use of additional analgesics after 6 hours, 24 hours, and 48 hours, and mean NRS score after 6 hours, 24 hours, and 48 hours were not significantly different between two groups. Conclusion: RSSH might be an effective and safe alternative to RH, even if in older and/or obese women with large uteri.

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Section: Discussionmentioning

confidence: 99%

Robotic Single-Site Hysterectomy versus Robot-Assisted Multiport Hysterectomy in Benign Gynecologic Diseases: A Retrospective Comparison of Clinical and Surgical Outcomes

Park

Lee

et al. 2018

Soonchunhyang Med Sci

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“…In Brazil, from 2015 to 2016 the National Health System (Sistema Único de Saúde - SUS) treated more than 117.090 cases of unilateral inguinal hernia through the open technique and 901 cases through laparoscopic techniques 19 . Nowadays, several surgical techniques are available for the treatment of inguinal hernia 5 , 10 , 15 . However, two techniques are generally accepted as the best treatment options for inguinal hernia repair: the tension-free open Lichtenstein and the laparoscopic procedures 4 .…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Postoperative Pain Between the Lichtenstein and Laparoscopy Surgical Techniques for the Treatment of Unilateral Primary Inguinal Hernia

Pedroso

DE-Melo

Da-Silva

2017

ABCD, arq. bras. cir. dig.

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Background:There are several surgical treatment options for inguinal hernia; however, there is no consensus on the literature identifying which surgical technique promotes less postoperative pain. Aim: To compare the intensity of postoperative pain between the surgical techniques Lichtenstein and transabdominal pre-peritoneal laparoscopy for the treatment of unilateral primary inguinal hernia. Methods: Were included 60 patients, of which 30 were operated through the Lichtenstein technique and 30 patients through the transabdominal pre-peritoneal laparoscopy. The pain levels were evaluated through the analogue visual scale for 2, 10 and 30 days after the surgery. Additionally, the recurrence rate and the presence of chronic pain and paresthesia were evaluated 12 months after the surgery. Results: Overall, the data analysis showed significant differences on pain levels between the surgical techniques. There were no significant differences between the pain levels for day 2. However, for 10 and 30 days after the surgery, the pain levels were significantly lower for the patients operated through the transabdominal pre-peritoneal laparoscopy technique compared to the Lichtenstein technique. Furthermore, despite no recurrent hernias for both surgical techniques, 32 % of patients operated through the Lichtenstein technique reported chronic pain and paresthesia 12 months after the surgery, compared with 3,6% of patients operated through the transabdominal pre-peritoneal laparoscopy technique. Conclusion: There are differences between the surgical techniques, with the transabdominal pre-peritoneal laparoscopy procedure promoting significantly lower postoperative pain (10 and 30 days) and chronic pain (12 months) compared to the Lichtenstein procedure.

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“…The standard procedure for the surgical correction of the incisional hernia is performed with the use of meshes 3 , 7 , 12 . The most widely used material is polypropylene which causes rapid acute inflammatory response followed by chronic foreign body reaction that persists for months and years after the surgical procedure.…”

Section: Introductionmentioning

confidence: 99%

Tensiometric Analysis of Meshes Used in Abdominal Ventral Wall Defects in Rats

Utrabo

Czeczko

Busato

et al. 2017

ABCD, arq. bras. cir. dig.

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Background:Among the various strategies to avoid exaggerated foreign body reaction in the treatment of hernias is the limitation of the amount of polypropylene or the use of absorbable material. Aim:To evaluate the healing of defects in the abdominal wall of rats, comparing microporous polypropylene, macroporous polypropylene and polypropylene/polyglecaprone at the 30º, 60º and 120º postoperative day. Methods:Wistar rats were submitted to defect production in the ventral abdominal wall, with integrity of the parietal peritoneum. Prolene®, Ultrapro® and Bard Soft® meshes were used in the correction of the defect. Nine subgroups of 10 animals were submitted to euthanasia at 30th, 60th and 120th postoperative day. Fragments of the abdominal wall of the animals were submitted to tensiometric analysis. Results:The tensiometry at the 30th postoperative day showed greater resistance of the tissues with Bard Soft® (macroporous mesh) in relation to the tissues with Prolene® (microporous mesh). On the 60th postoperative day Bard Soft® maintained the superior resistance to the tissues comparing to Prolene Mesh®. On the 120th postoperative day the tissues repaired with Ultrapro® (macroporous mesh) proved to be more resistant than the ones by Prolene® (microporous mesh) and Bard Soft® (macroporous mesh). Conclusion:The tissues repaired with macroporous meshes showed greater resistance than with microporous meshes at all stages, and at 120 days postoperative Ultrapro® performed better than the others.

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Robotic Assisted Single Site for Bilateral Inguinal Hernia Repair

Cited by 21 publications

References 8 publications

Robotic Single-Site Hysterectomy versus Robot-Assisted Multiport Hysterectomy in Benign Gynecologic Diseases: A Retrospective Comparison of Clinical and Surgical Outcomes

Robotic Single-Site Hysterectomy versus Robot-Assisted Multiport Hysterectomy in Benign Gynecologic Diseases: A Retrospective Comparison of Clinical and Surgical Outcomes

Comparative Study of Postoperative Pain Between the Lichtenstein and Laparoscopy Surgical Techniques for the Treatment of Unilateral Primary Inguinal Hernia

Tensiometric Analysis of Meshes Used in Abdominal Ventral Wall Defects in Rats

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