Management of Adverse Events During Laparoscopic and Robotic Hernia Repair

2018 ◽  
pp. 169-182
Author(s):  
Ciara R. Huntington ◽  
Jonathan D. Bouchez ◽  
David A. Iannitti
Keyword(s):  
Adverse Events ◽  
Hernia Repair ◽  
Robotic Hernia Repair

scholarly journals Self-Reported Adverse Events after Groin Hernia Repair, A Study Based on a National Register

2008 ◽  
Vol 11 (5) ◽  
pp. 927-932 ◽  
Author(s):  
Ulf Fränneby ◽  
Gabriel Sandblom ◽  
Olof Nyrén ◽  
Pär Nordin ◽  
Ulf Gunnarsson
Keyword(s):  
Adverse Events ◽  
Hernia Repair ◽  
Groin Hernia ◽  
Groin Hernia Repair ◽  
National Register

scholarly journals Erratum to: Robotic hernia repair III. English version

Der Chirurg ◽  
2021 ◽  
Author(s):  
Ulrich A. Dietz ◽  
O. Yusef Kudsi ◽  
Miguel Garcia-Ureña ◽  
Johannes Baur ◽  
Michaela Ramser ◽  
...  
Keyword(s):  
Hernia Repair ◽  
English Version ◽  
Robotic Hernia Repair

Reconstruction of the Abdominal Wall with Mesh I: Component Separation Techniques

2020 ◽  
Author(s):  
Samuel W. Ross ◽  
B. Todd Heniford ◽  
Vedra A. Augenstein
Keyword(s):  
Hernia Repair ◽  
Abdominal Wall ◽  
Abdominal Wall Reconstruction ◽  
Operative Management ◽  
Component Separation ◽  
Transversus Abdominis ◽  
Patient Specific ◽  
Wound Complications ◽  
Separation Techniques ◽  
Robotic Hernia Repair

Truly complex hernias which are multiply recurrent, have active infections, loss of domain, presence of stomas, require component separation or panniculectomy, and/or have other exacerbating factors, are truly challenging to manage operatively, and the multidisciplinary operations to repair them have become known collectively as abdominal wall reconstruction (AWR). Component separation techniques and panniculectomy, to name a few, have become commonly used techniques for operative management for complex hernias. Herein, we describe the history and technical aspects of component separation, panniculectomy and other adjunct techniques in abdominal wall reconstruction. In particular, a focus on patient specific clinical outcomes such as hernia recurrence, wound complications, and quality of life has been made in regards to use and types of component separation. Our goal is to provide a comprehensive review of the state of the literature and our recommendations for AWR, for the Plastic, General, and Hernia surgeon alike. This review contains 7 figures, 1 video, 1 table, and 79 references. Keywords: ventral hernia repair, incisional hernia, abdominal wall reconstruction. component separation, transversus abdominis release (TAR), surgical site infection, advances in hernia repair, robotic hernia repair, robotic component separation, botulinum toxin

The TransEnterix European Patient Registry for Robotic-Assisted Laparoscopic Procedures in Urology, Abdominal, Thoracic, and Gynecologic Surgery (“TRUST”)

2021 ◽  
Author(s):  
Dietmar Darwich ◽  
Ibrahim Darwich ◽  
Frank Willeke
Keyword(s):  
Robotic Surgery ◽  
Adverse Events ◽  
Hernia Repair ◽  
Gynecologic Surgery ◽  
Complication Rates ◽  
Bilateral Hernia ◽  
Duration Of Surgery ◽  
Study Population ◽  
Term Data

Introduction: Robotic surgery was first introduced in the mid-1980s, and at the end of the '90s, the da Vinci® System (Intuitive Surgical Inc., Sunnyvale, California) was introduced in Europe and held a monopoly for years afterward. In 2016, Senhance™ digital laparoscopic platform (Asensus Surgical, Durham, North Carolina) came to the market. This new platform is based on laparoscopic movements and is designed for laparoscopic surgeons. This study shows the surgical outcomes of patients after different visceral, colorectal, gynecological, and urological surgical procedures done with the Senhance™ digital laparoscopic platform with a focus on safety. Materials and Methods: The study population consists of 871 patients who underwent robotic surgery with the Senhance™ platform. The most common procedures were hernia repairs (unilateral and bilateral), cholecystectomies, and prostatectomies. The procedures were performed in five centers in Europe between February 2017 and July 2020 by experienced laparoscopic surgeons. Results: 220 (25.3 %) out of 871 patients had a unilateral hernia repair, 70 (8.0%) a bilateral hernia repair, 159 (18.3%) underwent a cholecystectomy, and 168 (19.3%) a prostatectomy. The other procedures included visceral, colorectal, and gynecological surgery procedures. The median docking time was 7.46 minutes for the four most common procedures. The duration of surgery varied from 32 to 313 minutes, the average time was 114.31 minutes. Adverse events were rare overall. There were 48 (5.5 %) adverse events out of 871 patients, 24 of them (2.8 % of all cases) were severe. Out of all 24 severe adverse events, five events (20.8%) were likely related to the robot, 17 events (70.8%) were unlikely related to the robot, and two events (8.3%) could not be categorized. Regarding complications following unilateral hernia repairs, data from 212 patients was available. Thirteen (6.1%) complications occurred, and six of those (2.8%) were serious. Out of 68 patients with a bilateral hernia repair, six patients (8.8%) developed complications, three of which were severe (4.4%). The complication rate was 2.8% in the patients following a cholecystectomy (4/144); two of them serious. After prostatectomy, six out of 141 patients (4.3 %) had complications; one serious (0.7%) No mortality was observed. Data about unplanned conversions to laparoscopic surgery could be collected from 761 patients which is a rate of 3.7%. There were 12 conversions out of 760 procedures to open surgery (1.6%). Conclusions: Our series shows these procedures are safe and reproducible. The findings suggest that the surgical results after robotic surgery with the Senhance™ system are promising. Long-term data regarding complication rates should be the subject of future studies.

scholarly journals Unintended consequences of policy change to watchful waiting for asymptomatic inguinal hernias

2014 ◽  
Vol 96 (5) ◽  
pp. 343-347 ◽  
Author(s):  
MJ Hwang ◽  
A Bhangu ◽  
CE Webster ◽  
DM Bowley ◽  
MX Gannon ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Adverse Events ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Policy Change ◽  
Watchful Waiting ◽  
Unintended Consequences ◽  
Health Economy ◽  
Emergency Repair ◽  
Inguinal Hernias

Introduction In 2009 the Department of Health instructed McKinsey & Company to provide advice on how commissioners might achieve world class National Health Service productivity. Asymptomatic inguinal hernia repair was identified as a potentially cosmetic procedure, with limited clinical benefit. The Birmingham and Solihull primary care trust cluster introduced a policy of watchful waiting for asymptomatic inguinal hernia, which was implemented across the health economy in December 2010. This retrospective cohort study aimed to examine the effect of a change in clinical commissioning policy concerning elective surgical repair of asymptomatic inguinal hernias. Methods A total of 1,032 patients undergoing inguinal hernia repair in the 16 months after the policy change were compared with 978 patients in the 16 months before. The main outcome measure was relative proportion of emergency repair in groups before and after the policy change. Multivariate binary logistic regression was used to adjust the main outcome for age, sex and hernia type. Results The period after the policy change was associated with 59% higher odds of emergency repair (3.6% vs 5.5%, adjusted odds ratio [OR]: 1.59, 95% confidence interval [CI]: 1.03–2.47). In turn, emergency repair was associated with higher odds of adverse events (4.7% vs 18.5%, adjusted OR: 3.68, 95% CI: 2.04–6.63) and mortality (0.1% vs 5.4%, p<0.001, Fisher’s exact test). Conclusions Introduction of a watchful waiting policy for asymptomatic inguinal hernias was associated with a significant increase in need for emergency repair, which was in turn associated with an increased risk of adverse events. Current policies may be placing patients at risk.

scholarly journals Efficacy and Tolerability of Intramuscular Dexketoprofen in Postoperative Pain Management following Hernia Repair Surgery

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
P. T. Jamdade ◽  
A. Porwal ◽  
J. V. Shinde ◽  
S. S. Erram ◽  
V. V. Kamat ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Adverse Events ◽  
Hernia Repair ◽  
Pain Intensity ◽  
Postoperative Pain Management ◽  
Global Evaluation ◽  
Hernia Surgery ◽  
Onset Of Action ◽  
Duration Of Action ◽  
Dexketoprofen Trometamol

Objective. To evaluate the safety and efficacy of intramuscular dexketoprofen for postoperative pain in patients undergoing hernia surgery.Methodology. Total 202 patients received single intramuscular injection of dexketoprofen 50 mg or diclofenac 50 mg postoperatively. The pain intensity (PI) was self-evaluated by patients on VAS at baseline 1, 2, 4, 6, and 8 hours. The efficacy parameters were number of responders, difference in PI (PID) at 8 hours, sum of analogue of pain intensity differences (SAPID), and onset and duration of analgesia. Tolerability assessment was done by global evaluation and adverse events in each group.Results. Dexketoprofen showed superior efficacy in terms of number of responders (P=.007), PID at 8 hours (P=.02), and SAPID0–8 hours(P<.0001). It also showed faster onset of action (42 minutes) and longer duration of action (6.5 hours). The adverse events were comparable in both groups.Conclusion. Single dose of dexketoprofen trometamol 50 mg given intramuscularly provided faster, better, and longer duration of analgesia in postoperative patients of hernia repair surgery than diclofenac 50 mg, with comparable safety.

scholarly journals Erratum to: Robotic hernia repair II. English version

Der Chirurg ◽  
2021 ◽  
Author(s):  
Johannes Baur ◽  
Michaela Ramser ◽  
Nicola Keller ◽  
Filip Muysoms ◽  
Jörg Dörfer ◽  
...  
Keyword(s):  
Hernia Repair ◽  
English Version ◽  
Robotic Hernia Repair
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