Robotic assisted eTEP ventral hernia repair: Brazilian early experience
Purpose The enhanced view totally extraperitoneal (eTEP) concept first applied to inguinal hernias has become an important tool in the armamentarium of ventral hernia repair. The purpose of this report is to date the first brazilian robotic-assisted eTEP ventral hernia repair case series. Methods A...
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Veröffentlicht in: | Hernia : the journal of hernias and abdominal wall surgery 2021-06, Vol.25 (3), p.765-774 |
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creator | Morrell, A. L. G. Morrell, A. C. Cavazzola, L. T. Pereira, G. S. S. Mendes, J. M. Abdalla, R. Z. Garcia, R. B. Costa, T. N. Morrell-Junior, A. C. Malcher, F. |
description | Purpose
The enhanced view totally extraperitoneal (eTEP) concept first applied to inguinal hernias has become an important tool in the armamentarium of ventral hernia repair. The purpose of this report is to date the first brazilian robotic-assisted eTEP ventral hernia repair case series.
Methods
A review of a prospectively maintained database was conducted in patients who underwent robotic-assisted enhanced view totally extraperitoneal (eTEP) for ventral hernia repair between June 2018 and January 2020. Patients demographics, preoperative hernia characteristics, intraoperative variables and postoperative outcomes were evaluated.
Results
Our review identified 74 patients submitted to the procedure. Thirty-one patients (41.8%) presented primary ventral hernias (PVHs) and 43 patients (58.2%) presented incisional hernias (IHs). Female patients were predominant in both groups PVHs and IHs with 17 (22.9%) and 22 (29.7%) respectively, with a total of 39 patients (52.7%). Mean BMI was 29.1 kg/m
2
(range 21.3–48.0 kg/m
2
) with higher mean BMI rates of 30.3 kg/m
2
in the IHs group (range 22–48 years). A lateral dock setup was utilized in 55 cases (74.4%), having the inferior and superior dock setup in 18 (24.3%) and 1 (1.3%) cases respectively. Mean console time was 148.3 (range 75–277 min) and 192.6 min (range 66–301 min) in the PVHs and IHs groups respectively. There were no intraoperative complications or conversions. Average length of stay was 1.5 days. Four patients were readmitted within 30 days of surgery. There were no reoperation or cases of intraparietal herniation in this cohort. No hernia recurrence was verified during the mean 230.7 days of follow up in both groups.
Conclusion
We present the first brazilian series to-date of the robotic assisted eTEP approach for ventral hernia repairs. Although long term outcomes require further analysis, its feasibility and reproducibility in experienced surgeons hands are evident, with safe and acceptable early postoperative outcomes. |
doi_str_mv | 10.1007/s10029-020-02233-3 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2409647529</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2409647529</sourcerecordid><originalsourceid>FETCH-LOGICAL-c441t-5be775c54718e941a74b776a7494ed41f35f75c359a70d61d886e418563b4913</originalsourceid><addsrcrecordid>eNp9kMlKBDEQhoMojtsLeJAGL15as1Q2byo6CoIicw_p7hqN9HSPSY-oT290XMCDh6QC9dVf4SNkl9FDRqk-SvnmtqSc5sOFKMUK2WAcTGk5hdWPt5IlWKpGZDOlR0qpAWXWyUhwsJJKtUHGd33VD6EufEohDdgUODm_LZ6xG6JviweMXfBFxLkP8bg4jf4ttMF3BfrYvhb4MscYsKtxm6xNfZtw56tukcnF-eTssry-GV-dnVyXNQAbSlmh1rKWoJlBC8xrqLRWuVjABthUyGnuC2m9po1ijTEKgRmpRAWWiS1ysIydx_5pgWlws5BqbFvfYb9IjgO1CrTkNqP7f9DHfhG7_DnHJVBusg2TKb6k6tinFHHq5jHMfHx1jLoPy25p2WXL7tOyE3lo7yt6Uc2w-Rn51poBsQRSbnX3GH93_xP7DmoUhSg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2540280088</pqid></control><display><type>article</type><title>Robotic assisted eTEP ventral hernia repair: Brazilian early experience</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Morrell, A. L. G. ; Morrell, A. C. ; Cavazzola, L. T. ; Pereira, G. S. S. ; Mendes, J. M. ; Abdalla, R. Z. ; Garcia, R. B. ; Costa, T. N. ; Morrell-Junior, A. C. ; Malcher, F.</creator><creatorcontrib>Morrell, A. L. G. ; Morrell, A. C. ; Cavazzola, L. T. ; Pereira, G. S. S. ; Mendes, J. M. ; Abdalla, R. Z. ; Garcia, R. B. ; Costa, T. N. ; Morrell-Junior, A. C. ; Malcher, F.</creatorcontrib><description>Purpose
The enhanced view totally extraperitoneal (eTEP) concept first applied to inguinal hernias has become an important tool in the armamentarium of ventral hernia repair. The purpose of this report is to date the first brazilian robotic-assisted eTEP ventral hernia repair case series.
Methods
A review of a prospectively maintained database was conducted in patients who underwent robotic-assisted enhanced view totally extraperitoneal (eTEP) for ventral hernia repair between June 2018 and January 2020. Patients demographics, preoperative hernia characteristics, intraoperative variables and postoperative outcomes were evaluated.
Results
Our review identified 74 patients submitted to the procedure. Thirty-one patients (41.8%) presented primary ventral hernias (PVHs) and 43 patients (58.2%) presented incisional hernias (IHs). Female patients were predominant in both groups PVHs and IHs with 17 (22.9%) and 22 (29.7%) respectively, with a total of 39 patients (52.7%). Mean BMI was 29.1 kg/m
2
(range 21.3–48.0 kg/m
2
) with higher mean BMI rates of 30.3 kg/m
2
in the IHs group (range 22–48 years). A lateral dock setup was utilized in 55 cases (74.4%), having the inferior and superior dock setup in 18 (24.3%) and 1 (1.3%) cases respectively. Mean console time was 148.3 (range 75–277 min) and 192.6 min (range 66–301 min) in the PVHs and IHs groups respectively. There were no intraoperative complications or conversions. Average length of stay was 1.5 days. Four patients were readmitted within 30 days of surgery. There were no reoperation or cases of intraparietal herniation in this cohort. No hernia recurrence was verified during the mean 230.7 days of follow up in both groups.
Conclusion
We present the first brazilian series to-date of the robotic assisted eTEP approach for ventral hernia repairs. Although long term outcomes require further analysis, its feasibility and reproducibility in experienced surgeons hands are evident, with safe and acceptable early postoperative outcomes.</description><identifier>ISSN: 1265-4906</identifier><identifier>EISSN: 1248-9204</identifier><identifier>DOI: 10.1007/s10029-020-02233-3</identifier><identifier>PMID: 32495056</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Abdominal Surgery ; Demography ; Early experience ; Female ; Hernia ; Hernia, Ventral - surgery ; Hernias ; Herniorrhaphy - adverse effects ; Humans ; Incisional Hernia - surgery ; Laparoscopy ; Medicine ; Medicine & Public Health ; Original Article ; Postoperative period ; Reproducibility of Results ; Retrospective Studies ; Robotic surgery ; Robotic Surgical Procedures - adverse effects ; Robotics ; Surgery ; Surgical Mesh</subject><ispartof>Hernia : the journal of hernias and abdominal wall surgery, 2021-06, Vol.25 (3), p.765-774</ispartof><rights>Springer-Verlag France SAS, part of Springer Nature 2020</rights><rights>Springer-Verlag France SAS, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-5be775c54718e941a74b776a7494ed41f35f75c359a70d61d886e418563b4913</citedby><cites>FETCH-LOGICAL-c441t-5be775c54718e941a74b776a7494ed41f35f75c359a70d61d886e418563b4913</cites><orcidid>0000-0003-1644-9921 ; 0000-0003-2356-2789 ; 0000-0002-8700-0067 ; 0000-0001-9337-2759 ; 0000-0003-3971-349X ; 0000-0002-4603-6004</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/s10029-020-02233-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10029-020-02233-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32495056$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morrell, A. L. G.</creatorcontrib><creatorcontrib>Morrell, A. C.</creatorcontrib><creatorcontrib>Cavazzola, L. T.</creatorcontrib><creatorcontrib>Pereira, G. S. S.</creatorcontrib><creatorcontrib>Mendes, J. M.</creatorcontrib><creatorcontrib>Abdalla, R. Z.</creatorcontrib><creatorcontrib>Garcia, R. B.</creatorcontrib><creatorcontrib>Costa, T. N.</creatorcontrib><creatorcontrib>Morrell-Junior, A. C.</creatorcontrib><creatorcontrib>Malcher, F.</creatorcontrib><title>Robotic assisted eTEP ventral hernia repair: Brazilian early experience</title><title>Hernia : the journal of hernias and abdominal wall surgery</title><addtitle>Hernia</addtitle><addtitle>Hernia</addtitle><description>Purpose
The enhanced view totally extraperitoneal (eTEP) concept first applied to inguinal hernias has become an important tool in the armamentarium of ventral hernia repair. The purpose of this report is to date the first brazilian robotic-assisted eTEP ventral hernia repair case series.
Methods
A review of a prospectively maintained database was conducted in patients who underwent robotic-assisted enhanced view totally extraperitoneal (eTEP) for ventral hernia repair between June 2018 and January 2020. Patients demographics, preoperative hernia characteristics, intraoperative variables and postoperative outcomes were evaluated.
Results
Our review identified 74 patients submitted to the procedure. Thirty-one patients (41.8%) presented primary ventral hernias (PVHs) and 43 patients (58.2%) presented incisional hernias (IHs). Female patients were predominant in both groups PVHs and IHs with 17 (22.9%) and 22 (29.7%) respectively, with a total of 39 patients (52.7%). Mean BMI was 29.1 kg/m
2
(range 21.3–48.0 kg/m
2
) with higher mean BMI rates of 30.3 kg/m
2
in the IHs group (range 22–48 years). A lateral dock setup was utilized in 55 cases (74.4%), having the inferior and superior dock setup in 18 (24.3%) and 1 (1.3%) cases respectively. Mean console time was 148.3 (range 75–277 min) and 192.6 min (range 66–301 min) in the PVHs and IHs groups respectively. There were no intraoperative complications or conversions. Average length of stay was 1.5 days. Four patients were readmitted within 30 days of surgery. There were no reoperation or cases of intraparietal herniation in this cohort. No hernia recurrence was verified during the mean 230.7 days of follow up in both groups.
Conclusion
We present the first brazilian series to-date of the robotic assisted eTEP approach for ventral hernia repairs. Although long term outcomes require further analysis, its feasibility and reproducibility in experienced surgeons hands are evident, with safe and acceptable early postoperative outcomes.</description><subject>Abdominal Surgery</subject><subject>Demography</subject><subject>Early experience</subject><subject>Female</subject><subject>Hernia</subject><subject>Hernia, Ventral - surgery</subject><subject>Hernias</subject><subject>Herniorrhaphy - adverse effects</subject><subject>Humans</subject><subject>Incisional Hernia - surgery</subject><subject>Laparoscopy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Postoperative period</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Robotic surgery</subject><subject>Robotic Surgical Procedures - adverse effects</subject><subject>Robotics</subject><subject>Surgery</subject><subject>Surgical Mesh</subject><issn>1265-4906</issn><issn>1248-9204</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kMlKBDEQhoMojtsLeJAGL15as1Q2byo6CoIicw_p7hqN9HSPSY-oT290XMCDh6QC9dVf4SNkl9FDRqk-SvnmtqSc5sOFKMUK2WAcTGk5hdWPt5IlWKpGZDOlR0qpAWXWyUhwsJJKtUHGd33VD6EufEohDdgUODm_LZ6xG6JviweMXfBFxLkP8bg4jf4ttMF3BfrYvhb4MscYsKtxm6xNfZtw56tukcnF-eTssry-GV-dnVyXNQAbSlmh1rKWoJlBC8xrqLRWuVjABthUyGnuC2m9po1ijTEKgRmpRAWWiS1ysIydx_5pgWlws5BqbFvfYb9IjgO1CrTkNqP7f9DHfhG7_DnHJVBusg2TKb6k6tinFHHq5jHMfHx1jLoPy25p2WXL7tOyE3lo7yt6Uc2w-Rn51poBsQRSbnX3GH93_xP7DmoUhSg</recordid><startdate>20210601</startdate><enddate>20210601</enddate><creator>Morrell, A. L. G.</creator><creator>Morrell, A. C.</creator><creator>Cavazzola, L. T.</creator><creator>Pereira, G. S. S.</creator><creator>Mendes, J. M.</creator><creator>Abdalla, R. Z.</creator><creator>Garcia, R. B.</creator><creator>Costa, T. N.</creator><creator>Morrell-Junior, A. C.</creator><creator>Malcher, F.</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1644-9921</orcidid><orcidid>https://orcid.org/0000-0003-2356-2789</orcidid><orcidid>https://orcid.org/0000-0002-8700-0067</orcidid><orcidid>https://orcid.org/0000-0001-9337-2759</orcidid><orcidid>https://orcid.org/0000-0003-3971-349X</orcidid><orcidid>https://orcid.org/0000-0002-4603-6004</orcidid></search><sort><creationdate>20210601</creationdate><title>Robotic assisted eTEP ventral hernia repair: Brazilian early experience</title><author>Morrell, A. L. G. ; Morrell, A. C. ; Cavazzola, L. T. ; Pereira, G. S. S. ; Mendes, J. M. ; Abdalla, R. Z. ; Garcia, R. B. ; Costa, T. N. ; Morrell-Junior, A. C. ; Malcher, F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-5be775c54718e941a74b776a7494ed41f35f75c359a70d61d886e418563b4913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abdominal Surgery</topic><topic>Demography</topic><topic>Early experience</topic><topic>Female</topic><topic>Hernia</topic><topic>Hernia, Ventral - surgery</topic><topic>Hernias</topic><topic>Herniorrhaphy - adverse effects</topic><topic>Humans</topic><topic>Incisional Hernia - surgery</topic><topic>Laparoscopy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Postoperative period</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Robotic surgery</topic><topic>Robotic Surgical Procedures - adverse effects</topic><topic>Robotics</topic><topic>Surgery</topic><topic>Surgical Mesh</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morrell, A. L. G.</creatorcontrib><creatorcontrib>Morrell, A. C.</creatorcontrib><creatorcontrib>Cavazzola, L. T.</creatorcontrib><creatorcontrib>Pereira, G. S. S.</creatorcontrib><creatorcontrib>Mendes, J. M.</creatorcontrib><creatorcontrib>Abdalla, R. Z.</creatorcontrib><creatorcontrib>Garcia, R. B.</creatorcontrib><creatorcontrib>Costa, T. N.</creatorcontrib><creatorcontrib>Morrell-Junior, A. C.</creatorcontrib><creatorcontrib>Malcher, F.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</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>MEDLINE - Academic</collection><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morrell, A. L. G.</au><au>Morrell, A. C.</au><au>Cavazzola, L. T.</au><au>Pereira, G. S. S.</au><au>Mendes, J. M.</au><au>Abdalla, R. Z.</au><au>Garcia, R. B.</au><au>Costa, T. N.</au><au>Morrell-Junior, A. C.</au><au>Malcher, F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Robotic assisted eTEP ventral hernia repair: Brazilian early experience</atitle><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle><stitle>Hernia</stitle><addtitle>Hernia</addtitle><date>2021-06-01</date><risdate>2021</risdate><volume>25</volume><issue>3</issue><spage>765</spage><epage>774</epage><pages>765-774</pages><issn>1265-4906</issn><eissn>1248-9204</eissn><abstract>Purpose
The enhanced view totally extraperitoneal (eTEP) concept first applied to inguinal hernias has become an important tool in the armamentarium of ventral hernia repair. The purpose of this report is to date the first brazilian robotic-assisted eTEP ventral hernia repair case series.
Methods
A review of a prospectively maintained database was conducted in patients who underwent robotic-assisted enhanced view totally extraperitoneal (eTEP) for ventral hernia repair between June 2018 and January 2020. Patients demographics, preoperative hernia characteristics, intraoperative variables and postoperative outcomes were evaluated.
Results
Our review identified 74 patients submitted to the procedure. Thirty-one patients (41.8%) presented primary ventral hernias (PVHs) and 43 patients (58.2%) presented incisional hernias (IHs). Female patients were predominant in both groups PVHs and IHs with 17 (22.9%) and 22 (29.7%) respectively, with a total of 39 patients (52.7%). Mean BMI was 29.1 kg/m
2
(range 21.3–48.0 kg/m
2
) with higher mean BMI rates of 30.3 kg/m
2
in the IHs group (range 22–48 years). A lateral dock setup was utilized in 55 cases (74.4%), having the inferior and superior dock setup in 18 (24.3%) and 1 (1.3%) cases respectively. Mean console time was 148.3 (range 75–277 min) and 192.6 min (range 66–301 min) in the PVHs and IHs groups respectively. There were no intraoperative complications or conversions. Average length of stay was 1.5 days. Four patients were readmitted within 30 days of surgery. There were no reoperation or cases of intraparietal herniation in this cohort. No hernia recurrence was verified during the mean 230.7 days of follow up in both groups.
Conclusion
We present the first brazilian series to-date of the robotic assisted eTEP approach for ventral hernia repairs. Although long term outcomes require further analysis, its feasibility and reproducibility in experienced surgeons hands are evident, with safe and acceptable early postoperative outcomes.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>32495056</pmid><doi>10.1007/s10029-020-02233-3</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-1644-9921</orcidid><orcidid>https://orcid.org/0000-0003-2356-2789</orcidid><orcidid>https://orcid.org/0000-0002-8700-0067</orcidid><orcidid>https://orcid.org/0000-0001-9337-2759</orcidid><orcidid>https://orcid.org/0000-0003-3971-349X</orcidid><orcidid>https://orcid.org/0000-0002-4603-6004</orcidid></addata></record> |
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source | MEDLINE; SpringerLink Journals |
subjects | Abdominal Surgery Demography Early experience Female Hernia Hernia, Ventral - surgery Hernias Herniorrhaphy - adverse effects Humans Incisional Hernia - surgery Laparoscopy Medicine Medicine & Public Health Original Article Postoperative period Reproducibility of Results Retrospective Studies Robotic surgery Robotic Surgical Procedures - adverse effects Robotics Surgery Surgical Mesh |
title | Robotic assisted eTEP ventral hernia repair: Brazilian early experience |
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