Single-port robot-assisted extended totally extraperitoneal repair for ventral hernia using the da Vinci single-port platform: A video vignette

Kim, Chang Hwan; Al-Sawat, Abdullah; Lee, Chul Seung

doi:10.1016/j.asjsur.2022.01.042

Cited by 2 publications

(4 citation statements)

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“…In addition, it avoids excessive separation of the triangle of doom, and the placement of the patch is more in line with the physiological anatomy of the human body, allowing tension-free repair of the defect. Secondly, this surgical approach eliminates the need for fixed mesh and results in less postoperative pain, shorter time to get out of bed and shorter hospital stay for the patient due to less damage to normal tissues [ 19 , 20 ]. The small trauma of laparoscopy and the use of general anesthesia [ 21 ] alleviate patient pain and prevent pain-induced stress reactions to relieve patient pain, which is consistent with the findings of Sanna et al…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Laparoscopic Totally Extraperitoneal Repair for Inguinal Hernia

Pan

Zhang²,

Wang

2022

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Objective. To assess the treatment efficacy of laparoscopic totally extraperitoneal repair for inguinal hernia. Methods. Between November 2018 and May 2020, 130 patients with inguinal hernias diagnosed and treated in our hospital were randomly recruited and assigned to receive either tension-free hernia repair (control group) or laparoscopic totally extraperitoneal repair (study group) at the random method. All patients received routine care including external traditional Chinese medicine (TCM) application. Outcome measures included surgical indices, numeric rating scale (NRS) scores, infections, and postoperative complications. Results. Laparoscopic surgery is associated with a shorter operation duration, time-lapse before postoperative off-bed activity, and hospital stay, as well as less intraoperative hemorrhage volume compared to tension-free hernia repair in the control group. Patients in the study group had considerably lower NRS ratings after therapy than those in the control group. ( P < 0.05 ). After treatment, the levels of blood cell count (WBC), C-reactive protein (CRP), and procalcitonin (PCT) in the study group were lower than those in the control group ( P < 0.05 ). In the control group, there were 0 cases of hematoma, 3 cases of subcutaneous effusion, 4 cases of urinary retention, 5 cases of scrotal effusion, and 1 case of bladder injury. In the study group, there were 0 cases of hematoma, 1 case of subcutaneous fluid, 1 case of urinary retention, 0 cases of scrotal fluid, and 0 cases of bladder injury. Laparoscopic surgery resulted in a lower incidence of postoperative complications versus traditional surgery (P <0.05). Conclusion. Laparoscopic totally extraperitoneal repair for inguinal hernia improves the intraoperative indices, mitigates postoperative pain, and reduces the risks of infections and complications, with the advantages of short operation duration, less hemorrhage volume, and shorter hospital stay. It shows great potential for clinical promotion.

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Section: Discussionmentioning

confidence: 99%

Efficacy of Laparoscopic Totally Extraperitoneal Repair for Inguinal Hernia

Pan

Zhang²,

Wang

2022

Disease Markers

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“…The mean MINORS score was 9 (4-14) and 16 (9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22) for non-comparative and comparative studies, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…The reported cases belonged to several specialties: hepatopancreatobiliary surgery [13, 37-39,50-55,78,79,87-97,100-103] (Tables S1 and S2), colorectal surgery [56][57][58][59][60][61][62][63][64][65][66][67][68][69][70][71][72][73][74][75][88][89][90][91][93][94][95][96][97][98][104][105][106][107][108][109][110][111] (Tables S1 and S3), abdominal wall surgery [11,12,[47][48][49][87][88][89][90][93]…”

Section: Resultsmentioning

confidence: 99%

“…Among the included studies, 36 were case reports [ 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 ], 52 were noncomparative studies [ 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 ,…”

Section: Resultsmentioning

confidence: 99%

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New Robotic Platforms in General Surgery: What’s the Current Clinical Scenario?

et al. 2023

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Background and Objectives: Robotic surgery has been widely adopted in general surgery worldwide but access to this technology is still limited to a few hospitals. With the recent introduction of new robotic platforms, several studies reported the feasibility of different surgical procedures. The aim of this systematic review is to highlight the current clinical practice with the new robotic platforms in general surgery. Materials and Methods: A grey literature search was performed on the Internet to identify the available robotic systems. A PRISMA compliant systematic review was conducted for all English articles up to 10 February 2023 searching the following databases: MEDLINE, EMBASE, and Cochrane Library. Clinical outcomes, training process, operating surgeon background, cost-analysis, and specific registries were evaluated. Results: A total of 103 studies were included for qualitative synthesis after the full-text screening. Of the fifteen robotic platforms identified, only seven were adopted in a clinical environment. Out of 4053 patients, 2819 were operated on with a new robotic device. Hepatopancreatobiliary surgery specialty performed the majority of procedures, and the most performed procedure was cholecystectomy. Globally, 109 emergency surgeries were reported. Concerning the training process, only 45 papers reported the background of the operating surgeon, and only 28 papers described the training process on the surgical platform. Only one cost-analysis compared a new robot to the existing reference. Two manufacturers promoted a specific registry to collect clinical outcomes. Conclusions: This systematic review highlights the feasibility of most surgical procedures in general surgery using the new robotic platforms. Adoption of these new devices in general surgery is constantly growing with the extension of regulatory approvals. Standardization of the training process and the assessment of skills’ transferability is still lacking. Further studies are required to better understand the real clinical and economical benefit.

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Single-port robot-assisted extended totally extraperitoneal repair for ventral hernia using the da Vinci single-port platform: A video vignette

Cited by 2 publications

References 4 publications

Efficacy of Laparoscopic Totally Extraperitoneal Repair for Inguinal Hernia

Efficacy of Laparoscopic Totally Extraperitoneal Repair for Inguinal Hernia

New Robotic Platforms in General Surgery: What’s the Current Clinical Scenario?

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