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Robotic Repair of Lower Abdomen Defects

  • Eduardo ParraDavilaEmail author
  • Flavio Malcher
  • Carlos Hartmann
Chapter

Abstract

Laparoscopic ventral hernia repair emerged and resulted in many benefits regarding wound problems and recurrence. However, this approach has issues related to the fascia closure and mesh fixation. Robotic ventral hernia repair (RVHR) overcomes these shortcomings by allowing the operator to offer traditional open repair techniques through minimal access incisions.

This type of technique can help exploit the abdominal wall layers, enhance the vision to overcome problems related to adhesiolysis and close the fascia in a better way to reduce postoperative pain. In defects located in the lower abdomen it can be very helpful to do the correct dissection and mesh positioning such as the suprapubic hernias.

This chapter describes robotic techniques for repair of hernias in the lower abdomen.

Keywords

Robotic ventral/incisional hernia repair Robotic preperitoneal hernia repair Lower abdominal hernias Adhesionlysis Mesh fixation Preperitoneal hernia repair Fascia closure Suprapubic hernias da Vinci platform 

Supplementary material

Video 4.1

(MP4 1547364 kb)

Video 4.2

(MP4 1549131 kb)

References

  1. 1.
    Mudge M, Hughes LE. Incisional hernia: a 10-year prospective study of incidence and attitudes. Br J Surg. 1985;72:70–1.CrossRefPubMedGoogle Scholar
  2. 2.
    Ballantyne GH, Hourmont K, Wasielewski A. Telerobotic laparoscopic repair of incisional ventral hernias using intraperitoneal prosthetic mesh. JSLS. 2003;7:7–14.PubMedPubMedCentralGoogle Scholar
  3. 3.
    LeBlanc KA, Heniford BT, Voeller GR. Innovations in ventral hernia repair. Contemp Surg. 2006:1–8.Google Scholar
  4. 4.
    LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc. 1993;3:39–41.PubMedGoogle Scholar
  5. 5.
    LeBlanc KA. The critical technical aspects of laparoscopic repair of ventral and incisional hernias. Am Surg. 2001;67:809–12. 452 World J Surg (2012) 36:447–452 123PubMedGoogle Scholar
  6. 6.
    Heniford BT, Ramshaw BJ. Laparoscopic ventral hernia repair: a report of 100 consecutive cases. Surg Endosc. 2000;14:419–23.CrossRefPubMedGoogle Scholar
  7. 7.
    Earle D, Seymour N, Fellinger E, et al. Laparoscopic versus open incisional hernia repair: a single-institution analysis of hospital resource utilization for 884 consecutive cases. Surg Endosc. 2006;20:71–5. World J Surg (2012) 36:447–452 451 123CrossRefPubMedGoogle Scholar
  8. 8.
    Harrell AG, Novitsky YW, Peindl RD, et al. Prospective evaluation of adhesion formation and shrinkage of intraabdominal prosthetics in a rabbit model. Am Surg. 2006;72:808–13.PubMedGoogle Scholar
  9. 9.
    McKinlay RD, Park A. Laparoscopic ventral incisional hernia repair: a more effective alternative to conventional repair of recurrent incisional hernia. J Gastrointest Surg. 2004;8:670–4.CrossRefPubMedGoogle Scholar
  10. 10.
    White TJ, Santos MC, Thompson JS. Factors affecting wound complications in repair of ventral hernias. Am Surg. 1998;64:276–80.PubMedGoogle Scholar
  11. 11.
    Carbajo MA, Martin de Olmo JC, Blanco JI, et al. Laparoscopic treatment vs open surgery in the solution of major incisional and abdominal wall hernias with mesh. Surg Endosc. 1999;13:250–2.CrossRefPubMedGoogle Scholar
  12. 12.
    Van der Linden FT, Van Vroonhoven TJ. Long-term results after surgical correction of incisional hernia. Neth J Surg. 1988;40:127–9.PubMedGoogle Scholar
  13. 13.
    Heniford BT, Park A, Ramshaw BJ, et al. Laparoscopic ventral and incisional hernia repair in 407 patients. J Am Coll Surg. 2000;190:645–50.CrossRefPubMedGoogle Scholar
  14. 14.
    Sanders LM, Flint LM, Ferrara JJ. Initial experience with laparoscopic repair of incisional hernias. Am J Surg. 1999;177:227–31.CrossRefPubMedGoogle Scholar
  15. 15.
    Schluender S, Conrad J, Divino CM, et al. Robot-assisted laparoscopic repair of ventral hernia with intracorporeal suturing. Surg Endosc. 2003;17:1391–5.CrossRefPubMedGoogle Scholar
  16. 16.
    Tayar C, Karoui M, Cherqui D, et al. Robot-assisted laparoscopic mesh repair of incisional hernias with exclusive intracorporeal suturing: a pilot study. Surg Endosc. 2007;21:1786–9.CrossRefPubMedGoogle Scholar
  17. 17.
    Giulianotti PC, Coratti A, Angelini M, et al. Robotics in general surgery: personal experience in a large community hospital. Arch Surg. 2003;138:777–84.CrossRefPubMedGoogle Scholar
  18. 18.
    Heniford BT, Park A, Ramshaw et al (2003) Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias. Ann Surg 238:391–400.Google Scholar
  19. 19.
    Bansal VK, Misra MC, Kumar S, et al. A prospective randomized study comparing suture mesh fixation versus tacker mesh fixation for laparoscopic repair of incisional and ventral hernias. Surg Endosc. 2011;25:1431–8.CrossRefPubMedGoogle Scholar
  20. 20.
    Perrone JM, Soper NJ, Eagon JC, et al. Perioperative outcomes and complications of laparoscopic ventral hernia repair. Surgery. 2005;138:708–15.CrossRefPubMedGoogle Scholar
  21. 21.
    Franklin ME, Dorman JP, Glass JL, et al. Laparoscopic ventral and incisional hernia repair. Surg Laparosc Endosc. 1998;8:294–9.CrossRefPubMedGoogle Scholar
  22. 22.
    Dubay DA, Wang X, Kirk S, et al. Fascial fibroblast kinetic activity is increased during abdominal wall repair compared to dermal fibroblasts. Wound Repair Regen. 2004;12:539–45.CrossRefPubMedGoogle Scholar
  23. 23.
    Laber GE, Garb JL, Alexander AI, et al. Long-term complications associated with prosthetic repair of ventral hernias. Arch Surg. 1998;133:378–82.CrossRefGoogle Scholar
  24. 24.
    Berger D, Bientzle M, Muller A. Postoperative complications after laparoscopic incisional hernia repair. Surg Endosc. 2002;16:1720–3.CrossRefPubMedGoogle Scholar
  25. 25.
    Stoppa RE. The treatment of complicated groin and incisional hernia. World J Surg. 1989;13:545–54.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Eduardo ParraDavila
    • 1
    Email author
  • Flavio Malcher
    • 2
  • Carlos Hartmann
    • 1
    • 2
  1. 1.Florida Hospital Celebration HealthCelebrationUSA
  2. 2.Celebration Center for SurgeryCelebrationUSA

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