Robotic transabdominal retromuscular umbilical prosthetic hernia repair (TARUP): observational study on the operative time during the learning curve

Muysoms, Filip; Cleven, Stijn Van; Pletinckx, Pieter; Ballecer, Conrad; Ramaswamy, Archana

doi:10.1007/s10029-018-1825-x

Cited by 87 publications

(49 citation statements)

References 15 publications

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“…The following six different techniques we found could be grouped as "laparoscopic -or endoscopic thyroidectomy" Database searches for IHRM identified 30 titles, only one of which passed screening. It was an observational study on laparoscopic ventral hernia repair using self-fixating mesh performed on 41 patients, which reported a decrease in the operative time, no complications, and a positive quality-of-life evaluation one month after the procedure [15].…”

Section: Applicability To Surgical Innovationsmentioning

confidence: 99%

Ethics in Surgical Innovations from the Patient Perspective

Eyers

Krastev

2020

Yearb Med Inform

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Objective: Surgical innovation (SI) can place patients at risk. We sought to explore what clinical information is readily available to patients who have been offered innovative surgical procedures, using two examples drawn from our recent experience: one a surgical technique, and the other a prosthetic material. We wanted to determine from our review the extent to which information available on the Internet might augment the medical literature and help satisfy the ethical requirements for patients to be adequately informed before they proceed with innovative surgery. Methods: A scoping review of the medical literature was performed to look for studies addressing the review aims; targeted searches on Google, YouTube, and patient websites were carried out to find readily available patient information on two chosen innovative surgical procedures. We conducted a content analysis of the selected references to determine the availability, relevance, and the utility of the published information to a layperson. Results: Medical database searches identified 614 records, 91 were screened and only six were relevant. The Internet searches returned thousands of results; however, we limited our screening to the first five pages of results for those sources. From both types of searches, 348 references were excluded because they did not meet the inclusion criteria and 51 were included in the analysis. The findings are presented in four themes: safety and feasibility of the technique, availability and accessibility to a layperson, relevance and utility to a layperson, and commercial information. Conclusion: The review has shown that lay people seeking to find out more about the two innovations would get very little useful information from Google, YouTube, or patient websites. Practitioners offering SI should provide sufficient information to allow their patients to make an autonomous decision about whether to proceed. For major SI, we encourage innovators to develop a plain language statement that would be made available on the Internet to the mutual advantage of both innovators and patients.

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Section: Applicability To Surgical Innovationsmentioning

confidence: 99%

Ethics in Surgical Innovations from the Patient Perspective

Eyers

Krastev

2020

Yearb Med Inform

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“…The main reasons were the great technical difficulty of the procedure and the long operative time. However, this situation has changed in the last 2 years, as many articles about this emerging technique from different countries have been published [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

A preliminary multicenter evaluation of endoscopic sublay repair for ventral hernia from China

Tang

Jiang²,

et al. 2020

BMC Surg

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Background For ventral hernia, endoscopic sublay repair (ESR) may overcome the disadvantages of open sublay and laparoscopic intraperitoneal onlay mesh repair. This retrospective study presents the preliminary multicenter results of ESR from China. The feasibility, safety, and effectiveness of ESR were evaluated; its surgical points and indications were summarized. Methods The study reviewed 156 ventral hernia patients planned to perform with ESR in ten hospitals between March 2016 and July 2019. Patient demographics, hernia characteristics, operative variables, and surgical results were recorded and analyzed. Results ESR was performed successfully in 153 patients, 135 with totally extraperitoneal sublay (TES) and 18 with transabdominal sublay (TAS). In 19 patients, TES was performed with the total visceral sac separation (TVS) technique, in which the space separation is carried out along the peritoneum, avoiding damage to the aponeurotic structure. Endoscopic transversus abdominis release (eTAR) was required in 17.0% of patients, and only 18.3% of patients required permanent mesh fixation. The median operative time was 135 min. Most patients had mild pain and resume eating soon after operation. No severe intraoperative complications occurred. Bleeding in the extraperitoneal space occurred in two patients and was stopped by nonsurgical treatment. Seroma and chronic pain were observed in 5.23 and 3.07% of patients. One recurrence occurred after TAS repair for an umbilical hernia. Conclusion ESR is feasible, safe, and effective for treating ventral hernias when surgeons get the relevant surgical skills, such as the technique of “partition breaking,” TVS, and eTAR. Small-to-medium ventral hernias are the major indications.

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“…The main reasons were the great technical di culty of the procedure and the long operative time. However, this situation has changed in the last 2 years, as many articles about this emerging technique from different countries have been published (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24).…”

Section: Introductionmentioning

confidence: 99%

“…Prasad, Schroeder, and Masurkar reported cases in which they performed transabdominal sublay (TAS) repair based on the inguinal hernia transabdominal preperitoneal (TAPP) approach (17)(18)(19). Moreover, robotic assistance was also introduced to ESR performed using either totally extraperitoneal (14)(15)(16) or transabdominal (20)(21)(22)(23)(24) approach.…”

Section: Introductionmentioning

confidence: 99%

A preliminary multicenter evaluation of endoscopic sublay repair for ventral hernia from China

Tang

Jiang

et al. 2020

Preprint

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Background: For ventral hernia, endoscopic sublay repair (ESR) may overcome the disadvantages of open sublay and laparoscopic intraperitoneal onlay mesh repair. This retrospective study presents the preliminary multicenter results of ESR from China. The feasibility, safety, and effectiveness of ESR were evaluated; its surgical points and indications were summarized. Methods: The study reviewed 156 ventral hernia patients planned to perform with ESR in ten hospitals between March 2016 and July 2019. Patient demographics, hernia characteristics, operative variables, and surgical results were recorded and analyzed.Results: ESR was performed successfully in 153 patients, 135 with totally extraperitoneal sublay (TES) and 18 with transabdominal sublay (TAS). In 19 patients, TES was performed with the total visceral sac separation (TVS) technique, in which the space separation is carried out along the peritoneum, avoiding damage to the aponeurotic structure. Endoscopic transversus abdominis release (eTAR) was required in 17.0% of patients, and only 18.3% of patients required permanent mesh fixation. The median operative time was 135 min. Most patients had mild pain and resume eating soon after operation. No severe intraoperative complications occurred. Bleeding in the extraperitoneal space occurred in two patients and was stopped by nonsurgical treatment. Seroma and chronic pain were observed in 5.23% and 3.07% of patients. One recurrence occurred after TAS repair for an umbilical hernia.Conclusion: ESR is feasible, safe, and effective for treating ventral hernias when surgeons get the relevant surgical skills, such as the technique of “partition breaking,” TVS, and eTAR. Small-to-medium ventral hernias are the major indications.

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Robotic transabdominal retromuscular umbilical prosthetic hernia repair (TARUP): observational study on the operative time during the learning curve

Cited by 87 publications

References 15 publications

Ethics in Surgical Innovations from the Patient Perspective

Ethics in Surgical Innovations from the Patient Perspective

A preliminary multicenter evaluation of endoscopic sublay repair for ventral hernia from China

A preliminary multicenter evaluation of endoscopic sublay repair for ventral hernia from China

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