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Robotic-assisted onlay technique: new approach using anterior mesh positioning in ventral hernia repair—an easy way to spread robotic surgery

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Abstract

There is still a lot of debate about what is the best technique for ventral hernia (VH) repair surgery. Robotic-assisted procedures are an excellent alternative to overcome the technical difficulties of regular laparoscopic surgery. The onlay technique is one of the most performed surgeries worldwide in open ventral hernia surgery, and the anatomy is easily recognized by all surgeons. Introducing the robotic onlay approach, using robotic-assisted surgery to perform ventral hernia repair with a technique is usual for most surgeons. This “new” approach may change the initial concept that minimally invasive abdominal wall surgery requires specific and tedious training and can help standardize ventral hernia repair by robotic surgery and facilitate training, allowing more surgeons to perform minimally invasive abdominal wall surgery. Finally, clinical studies are needed to measure the impact of Robotot implementation in MIS ventral hernia repair and long-term results.

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Authors and Affiliations

  1. Department of Surgery, Moinhos de Vento Hospital, Porto Alegre, Brazil

    João Vicente Machado Grossi

  2. Department of Surgery, Montefiore, NY, USA

    Flavio Malcher Martins de Oliveira

  3. Department of Surgery, Cellebration, Orlando, USA

    Eduardo Parra-Davila

  4. Department of Surgery, Phoenix, AZ, USA

    Conrad Ballecer

  5. Department of Surgery, Clinicas de Porto Alegre Hospital, Porto Alegre, Brazil

    Leandro Totti Cavazzola

Authors
  1. João Vicente Machado Grossi
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  2. Flavio Malcher Martins de Oliveira
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  3. Eduardo Parra-Davila
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  4. Conrad Ballecer
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  5. Leandro Totti Cavazzola
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Corresponding author

Correspondence to João Vicente Machado Grossi.

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Conflict of interest

Author Joao Vicente Machado Grossi, declares that he has no conflict of interest. Author Flavio Malcher discloses consulting fees from BD and Medtronic, outside the submitted work. Author Eduardo Parra Davila discloses consulting fees from Bard-Davol, outside the submitted work. Author Conrad Ballecer has received a consultant for Intuitive and Medtronic Company. Author Leandro Totti Cavazzola discloses consulting fees from Strattner and Medtronic, outside the submitted work.

Informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

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Supplementary file1A video describing the technique ROBOTOT onlay ventral hernia repair is included this article. High resolution video in this link. https://drive.google.com/file/d/1vSWtrMYteNEjZhkkpoBWwQaiAkVrdnp7/view?usp=drive_web (MOV 239133 KB)

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Grossi, J.M., Martins de Oliveira, F., Parra-Davila, E. et al. Robotic-assisted onlay technique: new approach using anterior mesh positioning in ventral hernia repair—an easy way to spread robotic surgery. J Robotic Surg 15, 971–974 (2021). https://doi.org/10.1007/s11701-021-01218-3

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  • DOI: https://doi.org/10.1007/s11701-021-01218-3

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