Robotic Ventral Hernia Repair and Concomitant Procedures: Mid-term Outcomes and Risk Factors Associated With Postoperative Complications

Abstract

The data of this study obtained from approved database by the Institutional Review Board. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Dual docking technique for robotic repair of simultaneous inguinal and umbilical hernia: A preliminary single center experience

“…11 Kudsi et al analysed the outcomes of robotic ventral hernia repairs with concomitant procedures, deducing that incisional hernia repairs, nonabdominal wall procedures, and a history of wound infection were risk factors for postoperative complications. 12 The repair of inguinal and umbilical hernia association is an underestimated concept in the surgical literature in the era of minimally invasive surgery. Bertozzi et al described a case series of 26 children affected by simultaneous inguinal and umbilical hernia treated with laparoscopic herniorrhaphy of the inguinal defect associated with the repair of the umbilical hernia tightening a previously fashioned purse-string suture.…”

“…Subsequently, the other two 8-mm trocars were placed under direct vision on the same vertical line, with approximately 8 cm between them. [8][9][10][11][12][13][14][15][16][17] In our institution, this is the first case series of robotic repair of simultaneous inguinal and umbilical hernia and in this article we describe our experience with the robotic platform da Vinci Xi ® . Our dual docking technique combines the robotic TAPP approach for inguinal hernia with TARUP using five robotic trocars.…”

“…Kudsi et al. analysed the outcomes of robotic ventral hernia repairs with concomitant procedures, deducing that incisional hernia repairs, nonabdominal wall procedures, and a history of wound infection were risk factors for postoperative complications 12 …”

“…Similarly, the operating setting for the robotic transabdominal retromuscular umbilical prosthetic hernia repair (TARUP) technique is performed in a standard way by the robotic surgeons: the first 8‐mm trocar was placed in the left subcostal region (2 cm from the costal margin) at the midclavicular line. Subsequently, the other two 8‐mm trocars were placed under direct vision on the same vertical line, with approximately 8 cm between them 8–17 …”