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
Hauptverfasser: Rose, Kyle M., Carras, Kharissa, Arora, Karan, Pearson, David, Harold, Kristi, Tyson, Mark
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container_issue 1
container_start_page 221
container_title Journal of robotic surgery
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creator Rose, Kyle M.
Carras, Kharissa
Arora, Karan
Pearson, David
Harold, Kristi
Tyson, Mark
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.
doi_str_mv 10.1007/s11701-019-00969-4
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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. 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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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