Robot-assisted repair of ureterosciatic hernia with mesh
Ureterosciatic hernias (USH) are rare conditions, reported in less than 100 patients worldwide. Robot-assisted surgical management has been reported only twice in the available literature. We present the first report of robot-assisted reduction and repair of an USH using mesh interposition. A 68 yea...
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Veröffentlicht in: | Journal of robotic surgery 2020-02, Vol.14 (1), p.221-225 |
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description | Ureterosciatic hernias (USH) are rare conditions, reported in less than 100 patients worldwide. Robot-assisted surgical management has been reported only twice in the available literature. We present the first report of robot-assisted reduction and repair of an USH using mesh interposition. A 68 year old female presented with left flank pain for the past three weeks. A computed topography urogram revealed an USH. She began having flank pain with nausea and vomiting during the diuresis portion of the study. She was admitted, and a left percutaneous nephrostomy tube was placed. A left retrograde pyelogram confirmed a pathognomonic “curlicue” distal ureter. She underwent robot-assisted repair of the USH, during which time the left ureter was mobilized and traced down to the point of herniation. After reduction, a 4 × 4cm piece of bioavailable mesh was placed over the defect, and fibrin sealant coated on the mesh. A ureteral stent was placed in retrograde fashion. Total blood loss was 25 mL, and the patient was discharged on postoperative day one. Her nephrostomy tube was removed prior to discharge, and the stent removed at 8 weeks postoperatively. This represents the first reported case of robotic repair of an ureterosciatic hernia with mesh. |
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Robot-assisted surgical management has been reported only twice in the available literature. We present the first report of robot-assisted reduction and repair of an USH using mesh interposition. A 68 year old female presented with left flank pain for the past three weeks. A computed topography urogram revealed an USH. She began having flank pain with nausea and vomiting during the diuresis portion of the study. She was admitted, and a left percutaneous nephrostomy tube was placed. A left retrograde pyelogram confirmed a pathognomonic “curlicue” distal ureter. She underwent robot-assisted repair of the USH, during which time the left ureter was mobilized and traced down to the point of herniation. After reduction, a 4 × 4cm piece of bioavailable mesh was placed over the defect, and fibrin sealant coated on the mesh. A ureteral stent was placed in retrograde fashion. Total blood loss was 25 mL, and the patient was discharged on postoperative day one. Her nephrostomy tube was removed prior to discharge, and the stent removed at 8 weeks postoperatively. This represents the first reported case of robotic repair of an ureterosciatic hernia with mesh.</description><identifier>ISSN: 1863-2483</identifier><identifier>EISSN: 1863-2491</identifier><identifier>DOI: 10.1007/s11701-019-00969-4</identifier><identifier>PMID: 31041589</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Abdomen ; Asymptomatic ; Bioavailability ; Conflicts of interest ; Dissection ; Diuresis ; Diverticulitis ; Endoscopy ; Ethics ; Fibrin ; Hernias ; Hydronephrosis ; Laparoscopy ; Medicine ; Medicine & Public Health ; Minimally Invasive Surgery ; Original Article ; Pain ; Patients ; Pelvis ; Robotics ; Robots ; Sealing compounds ; Stents ; Surgery ; Surgical mesh ; Urinary tract diseases ; Urology ; Vomiting</subject><ispartof>Journal of robotic surgery, 2020-02, Vol.14 (1), p.221-225</ispartof><rights>Springer-Verlag London Ltd., part of Springer Nature 2019</rights><rights>Springer-Verlag London Ltd., part of Springer Nature 2019.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-b290a7f42e3b4f8489752811726620b1521f339e404ca261e8ca266b71271d683</citedby><cites>FETCH-LOGICAL-c375t-b290a7f42e3b4f8489752811726620b1521f339e404ca261e8ca266b71271d683</cites><orcidid>0000-0001-7728-1144</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11701-019-00969-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2918715974?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,778,782,21371,21372,27907,27908,33513,33514,33727,33728,41471,42540,43642,43788,51302,64366,64368,64370,72220</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31041589$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rose, Kyle M.</creatorcontrib><creatorcontrib>Carras, Kharissa</creatorcontrib><creatorcontrib>Arora, Karan</creatorcontrib><creatorcontrib>Pearson, David</creatorcontrib><creatorcontrib>Harold, Kristi</creatorcontrib><creatorcontrib>Tyson, Mark</creatorcontrib><title>Robot-assisted repair of ureterosciatic hernia with mesh</title><title>Journal of robotic surgery</title><addtitle>J Robotic Surg</addtitle><addtitle>J Robot Surg</addtitle><description>Ureterosciatic hernias (USH) are rare conditions, reported in less than 100 patients worldwide. Robot-assisted surgical management has been reported only twice in the available literature. We present the first report of robot-assisted reduction and repair of an USH using mesh interposition. A 68 year old female presented with left flank pain for the past three weeks. A computed topography urogram revealed an USH. She began having flank pain with nausea and vomiting during the diuresis portion of the study. She was admitted, and a left percutaneous nephrostomy tube was placed. A left retrograde pyelogram confirmed a pathognomonic “curlicue” distal ureter. She underwent robot-assisted repair of the USH, during which time the left ureter was mobilized and traced down to the point of herniation. After reduction, a 4 × 4cm piece of bioavailable mesh was placed over the defect, and fibrin sealant coated on the mesh. A ureteral stent was placed in retrograde fashion. Total blood loss was 25 mL, and the patient was discharged on postoperative day one. Her nephrostomy tube was removed prior to discharge, and the stent removed at 8 weeks postoperatively. This represents the first reported case of robotic repair of an ureterosciatic hernia with mesh.</description><subject>Abdomen</subject><subject>Asymptomatic</subject><subject>Bioavailability</subject><subject>Conflicts of interest</subject><subject>Dissection</subject><subject>Diuresis</subject><subject>Diverticulitis</subject><subject>Endoscopy</subject><subject>Ethics</subject><subject>Fibrin</subject><subject>Hernias</subject><subject>Hydronephrosis</subject><subject>Laparoscopy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minimally Invasive Surgery</subject><subject>Original Article</subject><subject>Pain</subject><subject>Patients</subject><subject>Pelvis</subject><subject>Robotics</subject><subject>Robots</subject><subject>Sealing compounds</subject><subject>Stents</subject><subject>Surgery</subject><subject>Surgical mesh</subject><subject>Urinary tract diseases</subject><subject>Urology</subject><subject>Vomiting</subject><issn>1863-2483</issn><issn>1863-2491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9kE1LAzEQhoMotlb_gAdZ8OIlmkmym-QoxS8QBNFzyG5nbUq7W5NdxH9v6tYKHjxNYJ55Z_IQcgrsEhhTVxFAMaAMDGXMFIbKPTIGXQjKpYH93VuLETmKccFYrnIBh2QkgEnItRkT_dyWbUddjD52OMsCrp0PWVtnfcAOQxsr7zpfZXMMjXfZh-_m2Qrj_Jgc1G4Z8WRbJ-T19uZlek8fn-4eptePtBIq72jJDXOqlhxFKWsttVE51-lwXhSclZBzqIUwKJmsHC8A9aYUpQKuYFZoMSEXQ-46tO89xs6ufKxwuXQNtn20nIMWTIBQCT3_gy7aPjTpOssNaAW5UTJRfKCq9LkYsLbr4FcufFpgduPVDl5t8mq_vdrN0Nk2ui9XONuN_IhMgBiAmFrNG4bf3f_EfgHsQIAQ</recordid><startdate>20200201</startdate><enddate>20200201</enddate><creator>Rose, Kyle M.</creator><creator>Carras, Kharissa</creator><creator>Arora, Karan</creator><creator>Pearson, David</creator><creator>Harold, Kristi</creator><creator>Tyson, Mark</creator><general>Springer London</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>L6V</scope><scope>M0S</scope><scope>M7S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7728-1144</orcidid></search><sort><creationdate>20200201</creationdate><title>Robot-assisted repair of ureterosciatic hernia with mesh</title><author>Rose, Kyle M. ; Carras, Kharissa ; Arora, Karan ; Pearson, David ; Harold, Kristi ; Tyson, Mark</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-b290a7f42e3b4f8489752811726620b1521f339e404ca261e8ca266b71271d683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdomen</topic><topic>Asymptomatic</topic><topic>Bioavailability</topic><topic>Conflicts of interest</topic><topic>Dissection</topic><topic>Diuresis</topic><topic>Diverticulitis</topic><topic>Endoscopy</topic><topic>Ethics</topic><topic>Fibrin</topic><topic>Hernias</topic><topic>Hydronephrosis</topic><topic>Laparoscopy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Minimally Invasive Surgery</topic><topic>Original Article</topic><topic>Pain</topic><topic>Patients</topic><topic>Pelvis</topic><topic>Robotics</topic><topic>Robots</topic><topic>Sealing compounds</topic><topic>Stents</topic><topic>Surgery</topic><topic>Surgical mesh</topic><topic>Urinary tract diseases</topic><topic>Urology</topic><topic>Vomiting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rose, Kyle M.</creatorcontrib><creatorcontrib>Carras, Kharissa</creatorcontrib><creatorcontrib>Arora, Karan</creatorcontrib><creatorcontrib>Pearson, David</creatorcontrib><creatorcontrib>Harold, Kristi</creatorcontrib><creatorcontrib>Tyson, Mark</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Technology Collection (ProQuest)</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Engineering Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Engineering Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of robotic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rose, Kyle M.</au><au>Carras, Kharissa</au><au>Arora, Karan</au><au>Pearson, David</au><au>Harold, Kristi</au><au>Tyson, Mark</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Robot-assisted repair of ureterosciatic hernia with mesh</atitle><jtitle>Journal of robotic surgery</jtitle><stitle>J Robotic Surg</stitle><addtitle>J Robot Surg</addtitle><date>2020-02-01</date><risdate>2020</risdate><volume>14</volume><issue>1</issue><spage>221</spage><epage>225</epage><pages>221-225</pages><issn>1863-2483</issn><eissn>1863-2491</eissn><abstract>Ureterosciatic hernias (USH) are rare conditions, reported in less than 100 patients worldwide. Robot-assisted surgical management has been reported only twice in the available literature. We present the first report of robot-assisted reduction and repair of an USH using mesh interposition. A 68 year old female presented with left flank pain for the past three weeks. A computed topography urogram revealed an USH. She began having flank pain with nausea and vomiting during the diuresis portion of the study. She was admitted, and a left percutaneous nephrostomy tube was placed. A left retrograde pyelogram confirmed a pathognomonic “curlicue” distal ureter. She underwent robot-assisted repair of the USH, during which time the left ureter was mobilized and traced down to the point of herniation. After reduction, a 4 × 4cm piece of bioavailable mesh was placed over the defect, and fibrin sealant coated on the mesh. A ureteral stent was placed in retrograde fashion. Total blood loss was 25 mL, and the patient was discharged on postoperative day one. 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subjects | Abdomen Asymptomatic Bioavailability Conflicts of interest Dissection Diuresis Diverticulitis Endoscopy Ethics Fibrin Hernias Hydronephrosis Laparoscopy Medicine Medicine & Public Health Minimally Invasive Surgery Original Article Pain Patients Pelvis Robotics Robots Sealing compounds Stents Surgery Surgical mesh Urinary tract diseases Urology Vomiting |
title | Robot-assisted repair of ureterosciatic hernia with mesh |
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