TY - JOUR
T1 - Robotische Hernienchirurgie Teil IV
T2 - Roboterassistierte endoskopische parastomale Hernienversorgung. Videobericht und Ergebnisse
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 - 2022/11
Y1 - 2022/11
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/s00104-022-01715-7
DO - 10.1007/s00104-022-01715-7
M3 - Article
C2 - 36214850
AN - SCOPUS:85150746735
SN - 2731-6971
VL - 93
SP - 1051
EP - 1062
JO - Chirurgie (Germany)
JF - Chirurgie (Germany)
IS - 11
ER -