LVHR was associated with considerable postoperative pain and fatigue in the first postoperative month, prolonging the time of convalescence and significantly affecting patients' quality of life up to 6 months postoperatively. Mesh fixation with fibrin glue or other non-invasive/degradable products seems promising for reducing pain and it should be investigated in future randomised trials.
HighlightsIncidence of perineal hernia might be on the rise due to modification of operative technique and probably increased usage of neoadjuvant therapy.Numerous approaches have been described for the repair of the defect, but none have yet been accepted as “Gold standard”.To our knowledge this is the first ever documented robot-assisted repair of a perineal hernia.In-depth description of operative method.Video demonstrating the ease of mesh placement and suturing in the deep pelvis.
Although there might be a tendency toward better body image among laparoscopy-treated women, the two surgical techniques seem equal with respect to postoperative sexual function.
Postoperative variations are observed in the burst pressure of in vivo sealed arteries. Immediate burst pressure alone should not be used for validating vascular sealing devices.
CE-LUS did not increase the detection rate of occult liver metastasis during robotic assisted primary CRC surgery. The use of CE-LUS as a screening modality for detection of liver metastasis cannot be recommended based on this study, but larger controlled studies on high-risk patients seem relevant.
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