TY - JOUR
T1 - Robotic hernia surgery IV. English version
T2 - Robotic parastomal hernia repair. Video report and preliminary results
AU - Dewulf, Maxime
AU - Dietz, Ulrich A.
AU - Montgomery, Agneta
AU - Pauli, Eric M.
AU - Marturano, Matthew N.
AU - Ayuso, Sullivan A.
AU - Augenstein, Vedra A.
AU - Lambrecht, Jan R.
AU - Köhler, Gernot
AU - Keller, Nicola
AU - Wiegering, Armin
AU - Muysoms, Filip
N1 - Publisher Copyright:
© 2022. The Author(s).
PY - 2022/12/1
Y1 - 2022/12/1
N2 - The surgical treatment of parastomal hernias is considered complex and is known to be prone to complications. Traditionally, this condition was treated using relocation techniques or local suture repairs. Since then, several mesh-based techniques have been proposed and are nowadays used in minimally invasive surgery. Since the introduction of robot-assisted surgery to the field of abdominal wall surgery, several adaptations to these techniques have been made, which may significantly improve patient outcomes. In this contribution, we provide an overview of available techniques in robot-assisted parastomal hernia repair. Technical considerations and preliminary results of robot-assisted modified Sugarbaker repair, robot-assisted Pauli technique, and minimally invasive use of a funnel-shaped mesh in the treatment of parastomal hernias are presented. Furthermore, challenges in robot-assisted ileal conduit parastomal hernia repair are discussed. These techniques are illustrated by photographic and video material. Besides providing a comprehensive overview of robot-assisted parastomal hernia repair, this article focuses on the specific advantages of robot-assisted techniques in the treatment of this condition.
AB - The surgical treatment of parastomal hernias is considered complex and is known to be prone to complications. Traditionally, this condition was treated using relocation techniques or local suture repairs. Since then, several mesh-based techniques have been proposed and are nowadays used in minimally invasive surgery. Since the introduction of robot-assisted surgery to the field of abdominal wall surgery, several adaptations to these techniques have been made, which may significantly improve patient outcomes. In this contribution, we provide an overview of available techniques in robot-assisted parastomal hernia repair. Technical considerations and preliminary results of robot-assisted modified Sugarbaker repair, robot-assisted Pauli technique, and minimally invasive use of a funnel-shaped mesh in the treatment of parastomal hernias are presented. Furthermore, challenges in robot-assisted ileal conduit parastomal hernia repair are discussed. These techniques are illustrated by photographic and video material. Besides providing a comprehensive overview of robot-assisted parastomal hernia repair, this article focuses on the specific advantages of robot-assisted techniques in the treatment of this condition.
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U2 - 10.1007/s00104-022-01779-5
DO - 10.1007/s00104-022-01779-5
M3 - Review article
C2 - 36480037
AN - SCOPUS:85164121227
SN - 2731-6971
VL - 93
SP - 129
EP - 140
JO - Chirurgie (Germany)
JF - Chirurgie (Germany)
ER -