Incidence of Symptomatic Internal Hernia following Minimal Invasive colorectal surgery: A Single Center Experience

Laparoscopy has been adopted in the surgical specialties and colorectal surgery for treatment of benign and malignant diseases. Recent reviews suggest that the incidence of symptomatic internal hernias after laparoscopic colorectal resection is from 0.39 to 0.65%. Unlike in open surgery, laparoscopic closure of a mesenteric defect is inherently challenging as inadvertent injury to the marginal vessels may compromise blood supply to the anastomosis. For these reasons, many surgeons leave the defect open during laparoscopic surgery. But this may lead to development of post-operative internal hernia through the defect. This is a retrospective study where we included 149 patients who underwent laparoscopic/ robotic colorectal surgeries from March 2019 to March 2020. Data pertaining for following variables were collected which included age, sex, indication for surgery, location of the pathology, splenic flexure mobilization. The incidence of internal hernia among these patients were calculated and assessed using SPSS 20. Incidence of internal hernia was found to be 0.67% which was diagnosed and treated on the 18th post-operative day of initial surgery. Internal hernia is a rare but important complication of laparoscopic/robotic colorectal surgery with a high mortality rate if not diagnosed early. Defect closure is still controversial during the initial surgery and probably not indicated for all patients and depends on surgeon’s preference.

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Robotic rectosigmoidectomy: pioneer case report in Brazil. Current scene in colorectal robotic surgery

Arquivos de Gastroenterologia ◽

10.1590/s0004-28032010000100018 ◽

2010 ◽

Vol 47 (1) ◽

pp. 116-118 ◽

Cited By ~ 15

Author(s):

Marcelo Averbach ◽

Pedro Popoutchi ◽

Oswaldo Wiliam Marques Jr ◽

Ricardo Z Abdalla ◽

Sérgio Podgaec ◽

...

Keyword(s):

Robotic Surgery ◽

Colorectal Surgery ◽

Colorectal Resection ◽

Deep Infiltrating Endometriosis ◽

Brazil Current ◽

Current Series ◽

Robotic Colorectal Surgery ◽

Rectal Involvement ◽

Surgical Device ◽

Standard Laparoscopic Surgery

Laparoscopic colorectal surgery is believed to be technically and oncologically feasible. Robotic surgery is an attractive mode in performing minimally-invasive surgery once it has several advantages if compared to standard laparoscopic surgery. The aim of this paper is to report the first known case of colorectal resection surgery using the robotic assisted surgical device in Brazil. A 35-year-old woman with deep infiltrating endometriosis with rectal involvement was referred for colorectal resection using da Vinci® surgical system. The authors also reviewed the most current series and discussed not only the safety and feasibility but also the real benefits of robotic colorectal surgery

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Robotic Colorectal Resection With and Without the Use of the New Da Vinci Table Motion: A Case-Matched Study

Surgical Innovation ◽

10.1177/1553350618765540 ◽

2018 ◽

Vol 25 (3) ◽

pp. 251-257 ◽

Cited By ~ 4

Author(s):

Matteo Palmeri ◽

Desirée Gianardi ◽

Simone Guadagni ◽

Gregorio Di Franco ◽

Luca Bastiani ◽

...

Keyword(s):

Colorectal Surgery ◽

Colorectal Resection ◽

Da Vinci ◽

Da Vinci Xi ◽

Short Term ◽

Colorectal Cancer Surgery ◽

New Device ◽

Robotic Colorectal Surgery ◽

Number Of Patients ◽

Table Motion

Background. The da Vinci Table Motion (dVTM) is a new device that enables patients to be repositioned with instruments in place within the abdomen, and without undocking the robot. The present study was designed to compare operative and short-term outcomes of patients undergoing colorectal cancer surgery with the da Vinci Xi system, with or without use of the dVTM. Methods. Ten patients underwent robotic colorectal resection for cancer with the use of dVTM (Xi-dVTM group) between May 2015 and October 2015 at our center. The intraoperative and short-term clinical outcome were compared, using a case-control methodology (propensity scores approach to create 1:2 matched pairs), with a similar group of patients who underwent robotic colorectal surgery for cancer without the use of the dVTM device (Xi-only group). Results. Overall robotic operative time was shorter in the Xi-dVTM group ( P = .04). Operations were executed fully robotic in all Xi-dVTM cases, while 2 cases of the Xi-only group required conversion to open surgery because of bulky tumors and difficult exposure. Postoperative medical complications were higher in the Xi-only group ( P = .024). Conclusions. In this preliminary experience, the use of the new dVTM with the da Vinci Xi in colorectal surgery, by overcoming the limitations of the fixed positions of the patient, enhanced the workflow and resulted in improved exposure of the operative field. Further studies with a greater number of patients are needed to confirm these benefits of the dVTM-da Vinci Xi robotically assisted colorectal surgery.

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Internal hernia following laparoscopic colorectal surgery: single center experience

Polish Journal of Surgery ◽

10.5604/01.3001.0010.5405 ◽

2017 ◽

Vol 89 (5) ◽

pp. 19-22 ◽

Cited By ~ 5

Author(s):

Melina Svraka ◽

Michał Wilhelmsen ◽

Orhan Bulut

Keyword(s):

Colorectal Surgery ◽

High Mortality ◽

Laparoscopic Colorectal Surgery ◽

Screening Colonoscopy ◽

Internal Herniation ◽

Single Center Experience ◽

Internal Hernias ◽

Perioperative Course ◽

Mesenteric Defects ◽

Colorectal Procedures

Although internal hernias are rare complications of laparoscopic colorectal surgery, they can lead to serious outcomes and are associated with a high mortality of up 20 %. Aim of the study: The aim of this study was to describe our experience regarding internal herniation following laparoscopic colorectal surgery. Materials and methods: From 2009 to 2015, more than 1,093 laparoscopic colorectal procedures were performed, and 6 patients developed internal herniation. Data were obtained from patients’ charts and reviewed retrospectively. Perioperative course and outcomes were analyzed. Results: All patients were previously operated due to colorectal cancer. Two patients presented with ischemia at laparotomy, and 2 had endoscopic examinations before surgery. One patient was diagnosed with cancer on screening colonoscopy. One patient died after laparotomy. Conclusion: Internal herniation that develops following laparoscopic colorectal surgery may be associated with a high mortality. More efforts should be made to identify risk factors of internal herniation, as this could indicate which patients would benefit from closure of mesenteric defects during laparoscopic colorectal surgery.

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Minimally Invasive Colorectal Surgery and Beyond: A Large, Single-Surgeon Comparison Study Between Robotic and Laparoscopic Colorectal Resection to Evaluate and Define the Role and Application of New Technology

Open Access Journal of Surgery ◽

10.19080/oajs.2017.04.555642 ◽

2017 ◽

Vol 4 (4) ◽

Author(s):

Brano Djenic

Keyword(s):

Colorectal Surgery ◽

Minimally Invasive ◽

Colorectal Resection ◽

New Technology ◽

Comparison Study ◽

Laparoscopic Colorectal Resection ◽

Minimally Invasive Colorectal Surgery

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Comparison of the Thunderbeat and Other Energy Devices in Laparoscopic Colorectal Resection: A Single-Center Experience

Journal of Laparoendoscopic & Advanced Surgical Techniques ◽

10.1089/lap.2018.0208 ◽

2018 ◽

Vol 28 (12) ◽

pp. 1417-1421 ◽

Cited By ~ 1

Author(s):

Thomas Surya Suhardja ◽

Shana Norhadi ◽

Eric Ee ◽

Brian Hodgkins

Keyword(s):

Colorectal Resection ◽

Single Center ◽

Laparoscopic Colorectal Resection ◽

Energy Devices ◽

Single Center Experience

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Faculty Opinions recommendation of Quality of life after laparoscopic colorectal resection for endometriosis.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.10325.467813 ◽

2006 ◽

Author(s):

Rajesh Varma

Keyword(s):

Quality Of Life ◽

Colorectal Resection ◽

Laparoscopic Colorectal Resection

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Hernia interna estrangulada por plastrón en el tercio distal del apéndice cecal

Studies in the Economic History of Southern Africa ◽

10.22201/fm.24484865e.2019.62.6.03 ◽

2019 ◽

Vol 62 (6) ◽

pp. 24-27

Author(s):

Leslie M. Leyva Sotelo ◽

José E. Telich Tarriba ◽

Daniel Ángeles Gaspar ◽

Osvaldo I. Guevara Valmaña ◽

André Víctor Baldín ◽

...

Keyword(s):

Abdominal Pain ◽

Small Bowel ◽

Early Diagnosis ◽

Intestinal Obstruction ◽

Acute Abdomen ◽

Internal Hernia ◽

Wide Spectrum ◽

Internal Hernias ◽

Mild Abdominal Pain ◽

Made In

Internal hernias are an infrequent cause of intestinal obstruction with an incidence of 0.2-0.9%, therefore their early diagnosis represents a challenge. The most frequently herniated organ is the small bowel, which results in a wide spectrum of symptoms, varying from mild abdominal pain to acute abdomen. We present the case of an eight-year old patient with nonspecific digestive symptoms, a transoperative diagnosis was made in which an internal hernia was found strangulated by plastron in the distal third of the appendix. Appendectomy was performed and four days later the patient was discharged without complications.

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