Procedimento de Rives/Stoppa modificado robô-assistido para correção de hernias ventrais da linha média

Abdalla, René Jorge; Garcia, Rodrigo Biscuola; Costa, Rafael Izar Domingues da; Luca, Claudia de; Abdalla, Beatrice Martinez Zugaib

doi:10.1590/s0102-67202012000200014

Cited by 29 publications

(8 citation statements)

References 10 publications

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“…The ergonomics of a difficult anterior abdominal wall dissection are dramatically improved with the robotic platform, and the ease of intracorporeal suturing is a significant advantage. The feasibility of RRVHR was first demonstrated by Abdalla et al [25] who used the robot to perform a retromuscular repair of small umbilical hernias with associated diastasis rectus. This led us to develop and refine a technique for robotic RM hernia repair, including posterior component separation (TAR) when indicated.…”

Section: Discussionmentioning

confidence: 99%

Standard laparoscopic versus robotic retromuscular ventral hernia repair

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Standard laparoscopic versus robotic retromuscular ventral hernia repair

et al. 2016

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“…In addition, with the robot, lysis of adhesions on the abdomen anterior wall is facilitated and the sutures can be made with adequate force and tension and with short movements. The 3D view generated by the robot facilitates the unwinding of the mesh and allows its better positioning, besides helping in the accomplishment of the suture 14,15 . In the study by Novitsky et al 9 , 24% of the patients had surgical site infection and 2% had hernia recurrence.…”

Section: Discussionmentioning

confidence: 99%

Robotic Transversus Abdominis Release (TAR): is it possible to offer minimally invasive surgery for abdominal wall complex defects?

Amaral

Guimarães

Volpe³

et al. 2017

Rev. Col. Bras. Cir.

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We describe the preliminary national experience and the early results of the use of robotic surgery to perform the posterior separation of abdominal wall components by the Transversus Abdominis Release (TAR) technique for the correction of complex defects of the abdominal wall. We performed the procedures between 04/2/2015 and 06/15/2015 and the follow-up time was up to six months, with a minimum of two months. The mean surgical time was five hours and 40 minutes. Two patients required laparoscopic re-intervention, since one developed hernia by peritoneal migration of the mesh and one had mesh extrusion. The procedure proved to be technically feasible, with a still long surgical time. Considering the potential advantages of robotic surgery and those related to TAR and the results obtained when these two techniques are associated, we conclude that they seem to be a good option for the correction of complex abdominal wall defects.

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“…Perhaps the greatest promise for robotic hernia repair is the capability of this platform to duplicate an open retromuscular hernia repair, widely considered to be the standard for OVHR. The first description of this approach was reported in 2012 [38]. The potential advantage of this approach is the ability to utilize the robot to perform myofascial release of the rectus abdominis and/or transversus abdominis to facilitate medialization of the hernia defect for closure under reduced tension and placement of mesh in the retromuscular (extraperitoneal) space.…”

Section: Recommendaɵons: Rrvhr / Rtar / Etepmentioning

confidence: 99%

Update of Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)): Part B

et al. 2019

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In 2014 the International Endohernia Society (IEHS) published the first international “Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias”. Guidelines reflect the currently best available evidence in diagnostics and therapy and give recommendations to help surgeons to standardize their techniques and to improve their results. However, science is a dynamic field which is continuously developing. Therefore, guidelines require regular updates to keep pace with the evolving literature.MethodsFor the development of the original guidelines all relevant literature published up to year 2012 was analyzed using the ranking of the Oxford Centre for Evidence-Based-Medicine. For the present update all of the previous authors were asked to evaluate the literature published during the recent years from 2012 to 2017 and revise their statements and recommendations given in the initial guidelines accordingly. In two Consensus Conferences (October 2017 Beijing, March 2018 Cologne) the updates were presented, discussed, and confirmed. To avoid redundancy, only new statements or recommendations are included in this paper. Therefore, for full understanding both of the guidelines, the original and the current, must be read. In addition, the new developments in repair of abdominal wall hernias like surgical techniques within the abdominal wall, release operations (transversus muscle release, component separation), Botox application, and robot-assisted repair methods were included.ResultsDue to an increase of the number of patients and further development of surgical techniques, repair of primary and secondary abdominal wall hernias attracts increasing interests of many surgeons. Whereas up to three decades ago hernia-related publications did not exceed 20 per year, currently this number is about 10-fold higher. Recent years are characterized by the advent of new techniques—minimal invasive techniques using robotics and laparoscopy, totally extraperitoneal repairs, novel myofascial release techniques for optimal closure of large defects, and Botox for relaxing the abdominal wall. Furthermore, a concomitant rectus diastasis was recognized as a significant risk factor for recurrence. Despite still insufficient evidence with respect to these new techniques it seemed to us necessary to include them in the update to stimulate surgeons to do research in these fields.ConclusionGuidelines are recommendations based on best available evidence intended to help the surgeon to improve the quality of his daily work. However, science is a continuously evolving process, and as such guidelines should be updated about every 3 years. For a comprehensive reference, however, it is suggested to read both the initially guidelines published in 2014 together with the update. Moreover, the presented update includes also techniques which were not known 3 years before.

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Procedimento de Rives/Stoppa modificado robô-assistido para correção de hernias ventrais da linha média

Cited by 29 publications

References 10 publications

Standard laparoscopic versus robotic retromuscular ventral hernia repair

Standard laparoscopic versus robotic retromuscular ventral hernia repair

Robotic Transversus Abdominis Release (TAR): is it possible to offer minimally invasive surgery for abdominal wall complex defects?

Update of Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)): Part B

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