Dual docking technique for robotic repair of simultaneous inguinal and umbilical hernia: A preliminary single center experience

Pietro Anoldo, Michele Manigrasso, Anna D’Amore, Mario Musella, Giovanni Domenico De Palma, Marco Milone
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Abstract

Background

This study aimed to assess clinical results in terms of intraoperative outcomes, recovery and recurrence of our robotic technique for the treatment of patients affected by simultaneous inguinal and umbilical hernia, providing technical details to facilitate multiquadrant surgery in robotic hernia repair.

Methods

Data from patients affected by simultaneous primary inguinal and umbilical hernia who underwent robotic repair with our dual docking technique was retrospectively analysed.

Results

Fifteen patients were included. No intraoperative complications occurred. All patients achieved complete mobilisation within 7 h. The mean length of hospital stay was 21.6 h, with five patients discharged on the same day of surgery. There was no major complication and no recurrence within the median follow-up period of 673 days.

Conclusions

This surgical technique shows optimal postoperative outcomes, such as early mobilisation and short length of stay. Our study provides an aid to surgeons performing multiquadrant robotic surgery for the treatment of abdominal hernias.

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腹股沟疝和脐疝同时发生的机器人修复的双对接技术:一项初步的单中心经验。
背景:本研究旨在评估我们的机器人技术治疗腹股沟和脐疝并发患者的术中结果、恢复和复发方面的临床结果,为机器人疝修补术中的多象限手术提供技术细节。方法:回顾性分析采用我们的双对接技术进行机器人修复的原发性腹股沟疝和脐疝患者的数据。结果:纳入15例患者。未发生术中并发症。所有患者均在7小时内完成活动。平均住院时间为21.6小时,5名患者在手术当天出院。在673天的中位随访期内,没有出现重大并发症,也没有复发。结论:这种手术技术显示出最佳的术后结果,如早期活动和短停留时间。我们的研究为外科医生进行多象限机器人手术治疗腹疝提供了帮助。
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来源期刊
CiteScore
4.50
自引率
12.00%
发文量
131
审稿时长
6-12 weeks
期刊介绍: The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.
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