Robotic Inguinal Hernia Repair Port Placement
All surgeons were required in their operative report to detail the size of the mesh used the location of placement and number of tacks used if a laparoscopic repair the type of suture used if a robotic repair and the type of inguinal hernia repair according to the european hernia society classification of inguinal hernias.
Robotic inguinal hernia repair port placement. Robotic surgery for hernia repair robotic surgery is a newer technique for repairing hernias in which the surgeon is seated at a console and handles the surgical instruments from the console. Advantages of robotic surgery include three dimensional images of the inside of the abdomen smaller scars and less pain. 23 24 the initial procedures showed the need for technical modifications to prevent the robotic arm from clashing and to improve visualization and. Painful trapped or strangulated hernia.
Large hole near the navel greater than 1 inch in diameter your surgeon may perform robotic assisted keyhole surgery laparoscopy for repairing the umbilical hernia. Laparoscopic inguinal hernia repair introduction daniel jones duration. If mesh size and laterality is known at this point mesh is inserted into the abdomen and placed immediately beneath the camera. Absolute contraindications to robotic inguinal hernia repair include contamination of the abdominal cavity inability of the patient to tolerate pneumoperitoneum or general anesthesia and uncontrolled coagulopathy.
Robotic inguinal hernia repair. Hernia fails to close by 5 or 6 years. Robot ventral hernia intraoperative consideration lower or upper midline hernias port placement patient cart placed to allow straight line access for docking 90 degrees to patient equal spacing of robotic arms inferior port at least 2cm superior medial to asis technician has access to 12mm port. The bilateral inguinal hernia repair was performed by using the single site c da vinci surgical access platform to the abdominal cavity and the placement of clamps.
The first robotic assisted tapp inguinal hernia repair procedures reported herein implemented a technique that was similar to laparoscopic tapp inguinal hernia repair including port positioning. This was a robotic assisted laparoscopic repair of bilateral inguinal hernias in a previously healthy 28 year old male. For bilateral hernias it can be helpful to mark the mesh so as to not confuse the two pieces of mesh. When compared with open hernia repair both laparoscopic and robotic surgery lead to less postoperative pain fewer incidences of complications such as wound infections shorter recovery times.
Masters program hernia pathway.