Robotic re-TAPP: a minimally invasive alternative for the failed posterior repair

Detalhes bibliográficos
Autor(a) principal: AMARAL,PEDRO HENRIQUE DE FREITAS
Data de Publicação: 2022
Outros Autores: PIVETTA,LUCA GIOVANNI ANTONIO, DIAS,EDUARDO RULLO MARANHÃO, CARVALHO,JOÃO PAULO VENANCIO DE, FURTADO,MARCELO, MALHEIROS,CARLOS ALBERTO, ROLL,SERGIO
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista do Colégio Brasileiro de Cirurgiões
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100202
Resumo: ABSTRACT Objective: to describe the use of the robotic platform in inguinal hernia recurrence after a previous laparoscopic repair. Methods: patients with recurrent inguinal hernias following a laparoscopic repair who have undergone robotic transabdominal preperitoneal between December 2015 through September 2020 were identified in a prospectively maintained database. Outcomes of interest included demographics, hernia characteristics, operative details and rates of 30-day surgical site occurrence, surgical site occurrences requiring procedural interventions, surgical site infection and hernia recurrence were abstracted. Results: nineteen patients (95% male, mean age 55 years, mean body mass index 28) had 27 hernias repaired (N=8 bilateral). Average operative time was 168.9 ± 49.3min (range 90-240). There were two intraoperative complications all of them were bleeding from the inferior epigastric vessel injuries. Three SSOs occurred (N=2 seromas and N=1 hematoma. After a median 35.7 months follow-up (IQR 13-49), no recurrence has been diagnosed. One patient developed chronic postoperative inguinal pain. Conclusions: on a small number of selected patients and experienced hands, we found that the use of the robotic platform for repair of recurrent hernias after prior laparoscopic repair appears to be feasible, safe and effective despite being technically demanding. Further studies in larger cohorts are necessary to determine if this technique provides any benefits in recurrent inguinal hernia scenario.
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spelling Robotic re-TAPP: a minimally invasive alternative for the failed posterior repairHernia, InguinalRobotic Surgical ProceduresRecurrenceMinimally Invasive Surgical ProceduresABSTRACT Objective: to describe the use of the robotic platform in inguinal hernia recurrence after a previous laparoscopic repair. Methods: patients with recurrent inguinal hernias following a laparoscopic repair who have undergone robotic transabdominal preperitoneal between December 2015 through September 2020 were identified in a prospectively maintained database. Outcomes of interest included demographics, hernia characteristics, operative details and rates of 30-day surgical site occurrence, surgical site occurrences requiring procedural interventions, surgical site infection and hernia recurrence were abstracted. Results: nineteen patients (95% male, mean age 55 years, mean body mass index 28) had 27 hernias repaired (N=8 bilateral). Average operative time was 168.9 ± 49.3min (range 90-240). There were two intraoperative complications all of them were bleeding from the inferior epigastric vessel injuries. Three SSOs occurred (N=2 seromas and N=1 hematoma. After a median 35.7 months follow-up (IQR 13-49), no recurrence has been diagnosed. One patient developed chronic postoperative inguinal pain. Conclusions: on a small number of selected patients and experienced hands, we found that the use of the robotic platform for repair of recurrent hernias after prior laparoscopic repair appears to be feasible, safe and effective despite being technically demanding. Further studies in larger cohorts are necessary to determine if this technique provides any benefits in recurrent inguinal hernia scenario.Colégio Brasileiro de Cirurgiões2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100202Revista do Colégio Brasileiro de Cirurgiões v.49 2022reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20223063info:eu-repo/semantics/openAccessAMARAL,PEDRO HENRIQUE DE FREITASPIVETTA,LUCA GIOVANNI ANTONIODIAS,EDUARDO RULLO MARANHÃOCARVALHO,JOÃO PAULO VENANCIO DEFURTADO,MARCELOMALHEIROS,CARLOS ALBERTOROLL,SERGIOeng2022-02-25T00:00:00Zoai:scielo:S0100-69912022000100202Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2022-02-25T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false
dc.title.none.fl_str_mv Robotic re-TAPP: a minimally invasive alternative for the failed posterior repair
title Robotic re-TAPP: a minimally invasive alternative for the failed posterior repair
spellingShingle Robotic re-TAPP: a minimally invasive alternative for the failed posterior repair
AMARAL,PEDRO HENRIQUE DE FREITAS
Hernia, Inguinal
Robotic Surgical Procedures
Recurrence
Minimally Invasive Surgical Procedures
title_short Robotic re-TAPP: a minimally invasive alternative for the failed posterior repair
title_full Robotic re-TAPP: a minimally invasive alternative for the failed posterior repair
title_fullStr Robotic re-TAPP: a minimally invasive alternative for the failed posterior repair
title_full_unstemmed Robotic re-TAPP: a minimally invasive alternative for the failed posterior repair
title_sort Robotic re-TAPP: a minimally invasive alternative for the failed posterior repair
author AMARAL,PEDRO HENRIQUE DE FREITAS
author_facet AMARAL,PEDRO HENRIQUE DE FREITAS
PIVETTA,LUCA GIOVANNI ANTONIO
DIAS,EDUARDO RULLO MARANHÃO
CARVALHO,JOÃO PAULO VENANCIO DE
FURTADO,MARCELO
MALHEIROS,CARLOS ALBERTO
ROLL,SERGIO
author_role author
author2 PIVETTA,LUCA GIOVANNI ANTONIO
DIAS,EDUARDO RULLO MARANHÃO
CARVALHO,JOÃO PAULO VENANCIO DE
FURTADO,MARCELO
MALHEIROS,CARLOS ALBERTO
ROLL,SERGIO
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv AMARAL,PEDRO HENRIQUE DE FREITAS
PIVETTA,LUCA GIOVANNI ANTONIO
DIAS,EDUARDO RULLO MARANHÃO
CARVALHO,JOÃO PAULO VENANCIO DE
FURTADO,MARCELO
MALHEIROS,CARLOS ALBERTO
ROLL,SERGIO
dc.subject.por.fl_str_mv Hernia, Inguinal
Robotic Surgical Procedures
Recurrence
Minimally Invasive Surgical Procedures
topic Hernia, Inguinal
Robotic Surgical Procedures
Recurrence
Minimally Invasive Surgical Procedures
description ABSTRACT Objective: to describe the use of the robotic platform in inguinal hernia recurrence after a previous laparoscopic repair. Methods: patients with recurrent inguinal hernias following a laparoscopic repair who have undergone robotic transabdominal preperitoneal between December 2015 through September 2020 were identified in a prospectively maintained database. Outcomes of interest included demographics, hernia characteristics, operative details and rates of 30-day surgical site occurrence, surgical site occurrences requiring procedural interventions, surgical site infection and hernia recurrence were abstracted. Results: nineteen patients (95% male, mean age 55 years, mean body mass index 28) had 27 hernias repaired (N=8 bilateral). Average operative time was 168.9 ± 49.3min (range 90-240). There were two intraoperative complications all of them were bleeding from the inferior epigastric vessel injuries. Three SSOs occurred (N=2 seromas and N=1 hematoma. After a median 35.7 months follow-up (IQR 13-49), no recurrence has been diagnosed. One patient developed chronic postoperative inguinal pain. Conclusions: on a small number of selected patients and experienced hands, we found that the use of the robotic platform for repair of recurrent hernias after prior laparoscopic repair appears to be feasible, safe and effective despite being technically demanding. Further studies in larger cohorts are necessary to determine if this technique provides any benefits in recurrent inguinal hernia scenario.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100202
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/0100-6991e-20223063
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dc.publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
dc.source.none.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões v.49 2022
reponame:Revista do Colégio Brasileiro de Cirurgiões
instname:Colégio Brasileiro de Cirurgiões (CBC)
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reponame_str Revista do Colégio Brasileiro de Cirurgiões
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repository.name.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)
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