{"title":"Obituary: Vitalij Volodymirovitch SMYCHUK","authors":"A. D. de Beaux, M. Śmietański","doi":"10.3389/jaws.2023.11449","DOIUrl":"https://doi.org/10.3389/jaws.2023.11449","url":null,"abstract":"","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76805284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.4103/ijawhs.ijawhs_46_23
R. Bittner
{"title":"Editorial commentary for a special issue of the International Journal of Abdominal Wall and Hernia Surgery “robot-assisted hernia surgery”","authors":"R. Bittner","doi":"10.4103/ijawhs.ijawhs_46_23","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_46_23","url":null,"abstract":"","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"156 1","pages":"57 - 58"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78952747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.4103/ijawhs.ijawhs_60_22
Bernhard Limper, Lukas Kamrath
BACKGROUND AND METHOD: Robotic hernia surgery is progressing more and more, so that the robotic procedure is also used in the groin. We compared our patients who were operated on laparoscopically using the TEP technique with patients who were operated on robotically using the TAPP technique. RESULTS: The rTAPP can be safely performed without any problems and has many advantages, but the operating time is significantly longer than the laparoscopic TEPP. CONCLUSION: Inguinal hernia surgery can certainly be learned quickly and effectively as an introduction to robotics. It remains to be seen whether it will prevail in terms of surgical time and economics.
{"title":"Robot-assisted repair of primary uncomplicated inguinal hernia: comparisons to conventional laparoendoscopic repair","authors":"Bernhard Limper, Lukas Kamrath","doi":"10.4103/ijawhs.ijawhs_60_22","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_60_22","url":null,"abstract":"BACKGROUND AND METHOD: Robotic hernia surgery is progressing more and more, so that the robotic procedure is also used in the groin. We compared our patients who were operated on laparoscopically using the TEP technique with patients who were operated on robotically using the TAPP technique. RESULTS: The rTAPP can be safely performed without any problems and has many advantages, but the operating time is significantly longer than the laparoscopic TEPP. CONCLUSION: Inguinal hernia surgery can certainly be learned quickly and effectively as an introduction to robotics. It remains to be seen whether it will prevail in terms of surgical time and economics.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"97 1","pages":"100 - 104"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85477327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.4103/ijawhs.ijawhs_62_22
J. Eckhoff, D. Müller, S. Brunner, H. Fuchs, O. Meireles
With increasing market size and rising demand, the question arises whether the high cost impedes accessibility to robotic surgery. Despite all the apparent advantages robotic surgery offers to surgeons and patients, it is imperative for healthcare providers to weigh the insufficiently documented evidence for robotics against the exorbitant price. Aside from the high acquisition cost of robotic systems, the cost of instruments and accessories, maintenance, as well as the need for training, and the impact on procedural dynamics in the operating room factor into any cost–utility analysis. However, current perspectives provide an insufficient overview of available systems and their cost. And the lack of transparency and incomplete information provided by manufacturers impose a significant challenge to informed decision-making. This article gives a short overview of the cost of robotic surgery, what additional costs to consider, where to obtain information, and attempts to elaborate on the question of whether cost impedes the worldwide establishment of robotic surgery.
{"title":"Do the costs of robotic surgery present an insurmountable obstacle? A narrative review","authors":"J. Eckhoff, D. Müller, S. Brunner, H. Fuchs, O. Meireles","doi":"10.4103/ijawhs.ijawhs_62_22","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_62_22","url":null,"abstract":"With increasing market size and rising demand, the question arises whether the high cost impedes accessibility to robotic surgery. Despite all the apparent advantages robotic surgery offers to surgeons and patients, it is imperative for healthcare providers to weigh the insufficiently documented evidence for robotics against the exorbitant price. Aside from the high acquisition cost of robotic systems, the cost of instruments and accessories, maintenance, as well as the need for training, and the impact on procedural dynamics in the operating room factor into any cost–utility analysis. However, current perspectives provide an insufficient overview of available systems and their cost. And the lack of transparency and incomplete information provided by manufacturers impose a significant challenge to informed decision-making. This article gives a short overview of the cost of robotic surgery, what additional costs to consider, where to obtain information, and attempts to elaborate on the question of whether cost impedes the worldwide establishment of robotic surgery.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"48 1","pages":"71 - 76"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89136039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.4103/ijawhs.ijawhs_57_22
R. Vogel, F. Heinzelmann, P. Büchler, Bjoern Mück
Numerous metanalyses have shown that the retromuscular mesh placement is superior to other positions in terms of recurrence and complication rate. As a result, there has been a surge in novel minimally invasive retromuscular surgical techniques. We compared total extraperitoneal plasty (eTEP) and hybrid Mini/Less-open-Sublay [(e)MILOS] with respect to their adaptability to a surgical robotic system. Unfortunately, there is little to no literature regarding robotic adaptation of the (e)MILOS procedure, which made it rather difficult to juxtapose, but then again also implies that it is not commonly performed. As many benefits as the robot brings to endoscopic surgery, however, there is one major constraint when it comes to directionality. In eTEP dissection is performed in one direction and the trocars are positioned at the edge of the dissection field. The centripetal preparation of the (e)MILOS procedure is less suitable for the currently available systems and would naturally require multiple un- and re-dockings of the robot. Alternatively, the robot could only be used for a minor part of the operation. Looking at the published data concerning laparoendoscopic (e)MILOS and eTEP, there appears to be no significant difference in terms of major complications as well as reoperation and infection rates. However, a comparison to a robot-assisted eTEP cannot be done due to lack of publications. Judging from our own experience, we believe the eTEP technique to harness the advantages of the robot in addition to those of minimally invasive surgery more effectively. Within the last two decades, we have been experiencing a constant increment of endoscopic procedures in hernia surgery. This surge is nonetheless thanks to the availability of robotics in a continuously increasing number of hospitals in Europe and the United States. The combination of the advantages of minimally invasive surgery and robotic systems has been discussed and elaborated on many occasions and platforms. Hence, the goal of this analysis is to compare two broadly established minimally invasive (or less open) retromuscular methods in hernia repair surgery with regard to their adaptability to a surgical robot.
许多荟萃分析表明，在复发率和并发症发生率方面，肌肉后网置入优于其他位置。因此，新型微创肌肉后外科技术出现了激增。我们比较了全腹膜外成形术(eTEP)和混合型Mini/ less -open- subblay [(e)MILOS]对手术机器人系统的适应性。不幸的是，几乎没有关于(e)MILOS程序的机器人适应的文献，这使得它相当难以并列，但也意味着它通常不被执行。尽管机器人给内窥镜手术带来了许多好处，但在方向性方面有一个主要的限制。在eTEP中，在一个方向上进行解剖，套管针位于解剖场的边缘。(e)MILOS程序的向心准备不太适合当前可用的系统，并且自然需要多次断开和重新对接机器人。或者，机器人只能用于操作的一小部分。从已发表的关于腹腔镜(e)MILOS和eTEP的数据来看，在主要并发症、再手术和感染率方面似乎没有显著差异。然而，由于缺乏出版物，无法与机器人辅助的eTEP进行比较。从我们自己的经验来看，我们认为eTEP技术可以更有效地利用机器人在微创手术之外的优点。在过去的二十年里，我们在疝气手术中经历了内窥镜手术的不断增加。尽管如此，这种激增还是要归功于欧洲和美国越来越多的医院使用机器人技术。微创手术与机器人系统优势的结合已经在许多场合和平台上进行了讨论和阐述。因此，本分析的目的是比较两种广泛建立的微创(或不太开放)肌肉后疝修补手术方法对手术机器人的适应性。
{"title":"Robot-assisted repair of incisional hernia of the abdominal wall: Which access is better—endoscopic totally extraperitoneal preperitoneal plasty (eTEP) or mini- or less-open sublay (e)(MILOS), some first considerations","authors":"R. Vogel, F. Heinzelmann, P. Büchler, Bjoern Mück","doi":"10.4103/ijawhs.ijawhs_57_22","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_57_22","url":null,"abstract":"Numerous metanalyses have shown that the retromuscular mesh placement is superior to other positions in terms of recurrence and complication rate. As a result, there has been a surge in novel minimally invasive retromuscular surgical techniques. We compared total extraperitoneal plasty (eTEP) and hybrid Mini/Less-open-Sublay [(e)MILOS] with respect to their adaptability to a surgical robotic system. Unfortunately, there is little to no literature regarding robotic adaptation of the (e)MILOS procedure, which made it rather difficult to juxtapose, but then again also implies that it is not commonly performed. As many benefits as the robot brings to endoscopic surgery, however, there is one major constraint when it comes to directionality. In eTEP dissection is performed in one direction and the trocars are positioned at the edge of the dissection field. The centripetal preparation of the (e)MILOS procedure is less suitable for the currently available systems and would naturally require multiple un- and re-dockings of the robot. Alternatively, the robot could only be used for a minor part of the operation. Looking at the published data concerning laparoendoscopic (e)MILOS and eTEP, there appears to be no significant difference in terms of major complications as well as reoperation and infection rates. However, a comparison to a robot-assisted eTEP cannot be done due to lack of publications. Judging from our own experience, we believe the eTEP technique to harness the advantages of the robot in addition to those of minimally invasive surgery more effectively. Within the last two decades, we have been experiencing a constant increment of endoscopic procedures in hernia surgery. This surge is nonetheless thanks to the availability of robotics in a continuously increasing number of hospitals in Europe and the United States. The combination of the advantages of minimally invasive surgery and robotic systems has been discussed and elaborated on many occasions and platforms. Hence, the goal of this analysis is to compare two broadly established minimally invasive (or less open) retromuscular methods in hernia repair surgery with regard to their adaptability to a surgical robot.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"33 1","pages":"118 - 123"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76569472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The Da Vinci surgical robotic system has revolutionized the field of robotic surgery and has become one of the most ubiquitous and recognized systems in the robotic surgery era. The rapid rise in China’s economy will provide crucial support for the promotion and application of robotic surgical systems in the country’s surgical field. At present, approximately 1.2 million inguinal hernia repairs are performed annually in China. However, many of these surgeries are performed via traditional open repair or laparoscopy methods. Using the purported benefits of robotic surgery system to benefit hernia patients should become a future direction for Chinese hernia surgeons.
{"title":"Prospects and challenges of robotic hernia surgery in China: A narrative review","authors":"Shaochun Li, Shaojie Li, Dongsheng Hou, Jianxiong Tang","doi":"10.4103/ijawhs.ijawhs_54_22","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_54_22","url":null,"abstract":"The Da Vinci surgical robotic system has revolutionized the field of robotic surgery and has become one of the most ubiquitous and recognized systems in the robotic surgery era. The rapid rise in China’s economy will provide crucial support for the promotion and application of robotic surgical systems in the country’s surgical field. At present, approximately 1.2 million inguinal hernia repairs are performed annually in China. However, many of these surgeries are performed via traditional open repair or laparoscopy methods. Using the purported benefits of robotic surgery system to benefit hernia patients should become a future direction for Chinese hernia surgeons.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"13 1","pages":"67 - 70"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76017802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.4103/ijawhs.ijawhs_59_22
H. Hakmi, T. Pacheco, D. Halpern
Parastomal hernias present a continued challenge to the general surgeon. There are a myriad of techniques available, with hernia recurrence rates varying between 10 to greater than 50%. Mesh reinforcement and underlay or sublay placement are associated with lower hernia recurrence rates. Many patients with parastomal hernia have associated comorbidities which increase their risk for perioperative wound complications. Robotic and minimally invasive techniques offer decreased rate of wound complications, but can be challenging to perform if the stoma needs to be relocated. For patients with complex parastomal hernias requiring abdominal wall reconstruction with transversus abdominis release and retromuscular mesh placement, it can be difficult to align the layers of the abdominal wall and create an aperture in the mesh to allow for a straight passage of the conduit and prevent subsequent angulation of the bowel. Stapled Transabdominal Ostomy Reinforcement with retromuscular mesh, or STORRM technique, has been previously described elsewhere as a technique whereby a circular EEA (End-to-End Anastomoses) stapler is used to create a straight tunnel through the mesh and abdominal wall layers, standardize sizing, fixate the mesh, and substitute traditional cruciate incisions with a stapled reinforcement of the aperture in the mesh/tissues.
{"title":"The first robotic STORRM: A case report","authors":"H. Hakmi, T. Pacheco, D. Halpern","doi":"10.4103/ijawhs.ijawhs_59_22","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_59_22","url":null,"abstract":"Parastomal hernias present a continued challenge to the general surgeon. There are a myriad of techniques available, with hernia recurrence rates varying between 10 to greater than 50%. Mesh reinforcement and underlay or sublay placement are associated with lower hernia recurrence rates. Many patients with parastomal hernia have associated comorbidities which increase their risk for perioperative wound complications. Robotic and minimally invasive techniques offer decreased rate of wound complications, but can be challenging to perform if the stoma needs to be relocated. For patients with complex parastomal hernias requiring abdominal wall reconstruction with transversus abdominis release and retromuscular mesh placement, it can be difficult to align the layers of the abdominal wall and create an aperture in the mesh to allow for a straight passage of the conduit and prevent subsequent angulation of the bowel. Stapled Transabdominal Ostomy Reinforcement with retromuscular mesh, or STORRM technique, has been previously described elsewhere as a technique whereby a circular EEA (End-to-End Anastomoses) stapler is used to create a straight tunnel through the mesh and abdominal wall layers, standardize sizing, fixate the mesh, and substitute traditional cruciate incisions with a stapled reinforcement of the aperture in the mesh/tissues.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"24 1","pages":"110 - 117"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73464669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.4103/ijawhs.ijawhs_53_22
Qi Liu, Dianchen Wang, Zhao-Li Sun, Jianwu Jiang, Yang Fu
BACKGROUND: Hiatal hernia is a high incidence disease, of which, partial patients requiring surgery have gastroesophageal reflux or dysphagia. Although minimally invasive surgery has been widely utilized in recent years, the optimal surgical therapy still remains controversial. In this study, we reported a kyphosis patient undergoing robot-assisted laparoscopic hiatal hernia repair and launched a meta-analysis aiming to evaluate the advantages of this surgery strategy. MATERIALS AND METHODS: Six databases (Cochrane Central Register of Controlled Trials, PubMed, MEDLINE, EMBASE, ClincialTrials.gov database and Web of Science) were searched from inception to September 20, 2022. All studies describing the patients undergoing robotic hiatal hernia or laparoscopic hiatal hernia were included. And the meta-analysis was performed using R package meta (v6.0.0). RESULTS: We reported a 75-year-old female patient of short stature and with severe kyphosis was diagnosed with hiatal hernia and underwent a robotic surgery. For meta-analysis, 1,128 articles were identified in the initial database search, and among them, 6 articles were included in the final analysis. The results showed that robotic surgery had no advantage in operation time and intraoperative complications rate compared with traditional laparoscopic surgery (both P < 0.01). Regardless of the statistical significance, robotic surgery tended to have a lower conversion and postoperative complication rate, as well as the length of hospital stay. CONCLUSIONS: Robotics have some advantages in the surgical treatment of hiatal hernia compared with the conventional laparoscopic surgery, the use of which can facilitate the treatment for some challenging cases.
背景:裂孔疝是一种高发疾病，其中部分需要手术的患者存在胃食管反流或吞咽困难。尽管近年来微创手术得到了广泛的应用，但最佳的手术治疗方法仍然存在争议。在这项研究中，我们报道了一名接受机器人辅助腹腔镜裂孔疝修补术的后凸患者，并开展了一项荟萃分析，旨在评估这种手术策略的优势。材料和方法:检索了6个数据库(Cochrane Central Register of Controlled Trials, PubMed, MEDLINE, EMBASE, ClincialTrials.gov数据库和Web of Science)，检索时间从研究开始到2022年9月20日。所有描述机器人裂孔疝或腹腔镜裂孔疝患者的研究均被纳入。meta分析使用R软件包meta (v6.0.0)进行。结果:我们报道了一位75岁的女性患者，身材矮小，严重后凸，被诊断为裂孔疝，并接受了机器人手术。meta分析在初始数据库检索中共检索到1128篇文章，其中6篇文章被纳入最终分析。结果显示，机器人手术在手术时间和术中并发症发生率方面与传统腹腔镜手术相比无明显优势(P < 0.01)。无论是否具有统计学意义，机器人手术往往具有较低的转换率和术后并发症发生率，以及住院时间。结论:与传统腹腔镜手术相比，机器人技术在裂孔疝手术治疗中具有一定的优势，可以为一些疑难病例的治疗提供便利。
{"title":"Robot-assisted laparoscopic repair in hiatal hernia with kyphosis: A case report with meta-analysis","authors":"Qi Liu, Dianchen Wang, Zhao-Li Sun, Jianwu Jiang, Yang Fu","doi":"10.4103/ijawhs.ijawhs_53_22","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_53_22","url":null,"abstract":"BACKGROUND: Hiatal hernia is a high incidence disease, of which, partial patients requiring surgery have gastroesophageal reflux or dysphagia. Although minimally invasive surgery has been widely utilized in recent years, the optimal surgical therapy still remains controversial. In this study, we reported a kyphosis patient undergoing robot-assisted laparoscopic hiatal hernia repair and launched a meta-analysis aiming to evaluate the advantages of this surgery strategy. MATERIALS AND METHODS: Six databases (Cochrane Central Register of Controlled Trials, PubMed, MEDLINE, EMBASE, ClincialTrials.gov database and Web of Science) were searched from inception to September 20, 2022. All studies describing the patients undergoing robotic hiatal hernia or laparoscopic hiatal hernia were included. And the meta-analysis was performed using R package meta (v6.0.0). RESULTS: We reported a 75-year-old female patient of short stature and with severe kyphosis was diagnosed with hiatal hernia and underwent a robotic surgery. For meta-analysis, 1,128 articles were identified in the initial database search, and among them, 6 articles were included in the final analysis. The results showed that robotic surgery had no advantage in operation time and intraoperative complications rate compared with traditional laparoscopic surgery (both P < 0.01). Regardless of the statistical significance, robotic surgery tended to have a lower conversion and postoperative complication rate, as well as the length of hospital stay. CONCLUSIONS: Robotics have some advantages in the surgical treatment of hiatal hernia compared with the conventional laparoscopic surgery, the use of which can facilitate the treatment for some challenging cases.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"206 1","pages":"92 - 99"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77733191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.4103/ijawhs.ijawhs_52_22
D. Müller, Juliane Ahn, S. Brunner, Julia Poggemeier, Christian Storms, Alissa Reisewitz, T. Schmidt, C. Bruns, H. Fuchs
Although often forgotten in everyday routine and underestimated, especially in a surgical work environment, ergonomics are essential for endurance, efficiency, and a long and healthy work life. According to current studies, the rate of musculoskeletal disorders among minimally invasive surgeons ranges between 23% and 80%, which is lower compared with open surgery (66%–94%), but nevertheless shows the everyday relevance of this topic. An efficient and ergonomic design of the operating room has been widely discussed and guidelines have been imposed to create the optimal workspace. Furthermore, with the implementation of technical advancements and the introduction of robotic operating techniques, ergonomics have become an essential differentiating factor between systems. Surgical ergonomics are not universal but differ between open, laparoscopic, and robotic surgery. With the introduction of new robotic systems, many ergonomic challenges faced in open and laparoscopic surgeries have been overcome, whereas new challenges have been created. Nevertheless, ergonomics in surgery will need to be addressed and taken seriously, as a healthy workspace has gained more importance than ever.
{"title":"Ergonomics in robot-assisted surgery in comparison to open or conventional laparoendoscopic surgery: A narrative review","authors":"D. Müller, Juliane Ahn, S. Brunner, Julia Poggemeier, Christian Storms, Alissa Reisewitz, T. Schmidt, C. Bruns, H. Fuchs","doi":"10.4103/ijawhs.ijawhs_52_22","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_52_22","url":null,"abstract":"Although often forgotten in everyday routine and underestimated, especially in a surgical work environment, ergonomics are essential for endurance, efficiency, and a long and healthy work life. According to current studies, the rate of musculoskeletal disorders among minimally invasive surgeons ranges between 23% and 80%, which is lower compared with open surgery (66%–94%), but nevertheless shows the everyday relevance of this topic. An efficient and ergonomic design of the operating room has been widely discussed and guidelines have been imposed to create the optimal workspace. Furthermore, with the implementation of technical advancements and the introduction of robotic operating techniques, ergonomics have become an essential differentiating factor between systems. Surgical ergonomics are not universal but differ between open, laparoscopic, and robotic surgery. With the introduction of new robotic systems, many ergonomic challenges faced in open and laparoscopic surgeries have been overcome, whereas new challenges have been created. Nevertheless, ergonomics in surgery will need to be addressed and taken seriously, as a healthy workspace has gained more importance than ever.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"40 1","pages":"61 - 66"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83586873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.4103/ijawhs.ijawhs_12_23
D. Mueller, H. Fuchs
{"title":"Commentary special issue “Robotics in Hernia Surgery”","authors":"D. Mueller, H. Fuchs","doi":"10.4103/ijawhs.ijawhs_12_23","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_12_23","url":null,"abstract":"","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"132 1","pages":"59 - 60"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82254494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：