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Postoperative Management (Routine and Complex Situations)

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Laparoscopic and Robotic Incisional Hernia Repair

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Abstract

Laparoscopic and robotic surgery for incisional hernias have unique aspects to them as compared to open repair techniques. These are related to the use of trocars and cannulas, manipulation of the abdominal wall, handling of the hernia contents, and mesh placement. In this chapter, we will discuss postoperative management that is unique to these two approaches to incisional hernia repairs based on these factors. They include management of postoperative pain. We also review notable complications, including trocar site hernias, intestinal injury, and seromas. Differences between the two techniques are highlighted. We include expert tips and insight into the various intraoperative decisions that can be made to reduce the postoperative complications.

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References

  1. Fayezizadeh M, Petro CC, Rosen MJ, Novitsky YW. Enhanced recovery after surgery pathway for abdominal wall reconstruction: pilot study and preliminary outcomes. Plast Reconstr Surg. 2014;134(4S–2):151S.

    Article  CAS  Google Scholar 

  2. Earle D, Roth JS, Saber A, Haggerty S, Bradley JF, Fanelli R, et al. SAGES guidelines for laparoscopic ventral hernia repair. Surg Endosc. 2016;30(8):3163–83.

    Article  Google Scholar 

  3. Tonouchi H, Ohmori Y, Kobayashi M, Kusunoki M. Trocar site hernia. Arch Surg. 2004;139(11):1248–56.

    Article  Google Scholar 

  4. Muysoms FE, Antoniou SA, Bury K, et al. European Hernia Society guidelines on the closure of abdominal wall incisions. Hernia. 2015;19(1):1–24.

    Article  CAS  Google Scholar 

  5. Phillips E, Santos D, Towfigh S. Working port site hernias: to close or not to close? Does it matter in the obese? Bariatric Times. 2011;8(6):24–30.

    Google Scholar 

  6. Comfort AL, Frey MK, Musselman K, Chern JY, Lee J, Joo L, et al. Predictors of port site hernia necessitating operative intervention in patients undergoing robotic surgery. Gynecol Oncol. 2017;145:176.

    Article  Google Scholar 

  7. Picod G, Jambon AC, Vinatier D, et al. What can the operator actually feel when performing a laparoscopy? Surg Endosc. 2005;19(1):95–100.

    Article  CAS  Google Scholar 

  8. Jacobsen G, Berger R, Horgan S. The role of robotic surgery in morbid obesity. J Laparoendosc Adv Surg Tech. 2003;13(4):279–83.

    Article  Google Scholar 

  9. Khansa I, Koogler A, Richards J, Bryant R, Janis JE. Pain management in abdominal wall reconstruction. Plast Reconstr Surg Glob Open. 2017;5(6):e1400.

    Article  Google Scholar 

  10. Muysoms FE, Cathenis KKJ, Claeys DAB. “Suture hernia”: identification of a new type of hernia presenting as a recurrence after laparoscopic ventral hernia repair. Hernia. 2007;11(2):199–201.

    Article  CAS  Google Scholar 

  11. Leitao MM, Malhotra V, Briscoe G, Suidan R, Dholakiya P, Santos K, et al. Postoperative pain medication requirements in patients undergoing computer-assisted (“robotic”) and standard laparoscopic procedures for newly diagnosed endometrial cancer. Ann Surg Oncol. 2013;20(11):3561–7.

    Article  Google Scholar 

  12. Gonzalez A, Escobar E, Romero R, Walker G, Mejias J, Gallas M, et al. Robotic-assisted ventral hernia repair: a multicenter evaluation of clinical outcomes. Surg Endosc. 2017;31(3):1342–9.

    Article  Google Scholar 

  13. Bittner JG, Alrefai S, Vy M, Mabe M, Prado PARD, Clingempeel NL. Comparative analysis of open and robotic transversus abdominis release for ventral hernia repair. Surg Endosc. 2017;20:1–8.

    Google Scholar 

  14. Warren JA, Cobb WS, Ewing JA, Carbonell AM. Standard laparoscopic versus robotic retromuscular ventral hernia repair. Surg Endosc. 2017;31(1):324–32.

    Article  Google Scholar 

  15. Martin-del-Campo LA, Weltz AS, Belyansky I, Novitsky YW. Comparative analysis of perioperative outcomes of robotic versus open transversus abdominis release. Surg Endosc. 2017;21:1–6.

    Google Scholar 

  16. Prabhu AS, Dickens EO, Copper CM, Mann JW, Yunis JP, Phillips S, et al. Laparoscopic vs robotic intraperitoneal mesh repair for incisional hernia: an Americas Hernia Society Quality Collaborative Analysis. J Am Coll Surg. 2017;225(2):285–93.

    Article  Google Scholar 

  17. Armijo P, Pratap A, Wang Y, Shostrom V, Oleynikov D. Robotic ventral hernia repair is not superior to laparoscopic: a national database review. Surg Endosc. 2017;19:1–6.

    Google Scholar 

  18. Bittner R, Bingener-Casey J, Dietz U, et al. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)—part 1). Surg Endosc. 2014;28(1):2–29.

    Article  CAS  Google Scholar 

  19. Guend H, Widmar M, Patel S, Nash GM, Paty PB, Guillem JG, et al. Developing a robotic colorectal cancer surgery program: understanding institutional and individual learning curves. Surg Endosc. 2017;31(7):2820–8.

    Article  Google Scholar 

  20. Picerno T, Sloan NL, Escobar P, Ramirez PT. Bowel injury in robotic gynecologic surgery: risk factors and management options. A systematic review. Am J Obstet Gynecol. 2017;216(1):10–26.

    Article  Google Scholar 

  21. Alemzadeh H, Raman J, Leveson N, Kalbarczyk Z, Iyer RK. Adverse events in robotic surgery: a retrospective study of 14 years of FDA data. PLoS One. 2016;11(4):e0151470.

    Article  Google Scholar 

  22. Kokotovic D, Bisgaard T, Helgstrand F. Long-term recurrence and complications associated with elective incisional hernia repair. JAMA. 2016;316(15):1575–82.

    Article  Google Scholar 

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Authors and Affiliations

  1. Beverly Hills Hernia Center, Beverly Hills, CA, USA

    Shirin Towfigh

  2. Cedars-Sinai Medical Center, Los Angeles, CA, USA

    Desmond T. K. Huynh

Authors
  1. Shirin Towfigh
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  2. Desmond T. K. Huynh
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Corresponding author

Correspondence to Shirin Towfigh .

Editor information

Editors and Affiliations

  1. Surgeons Group of Baton Rouge, Our Lady of the Lake Physicians Group, Baton Rouge, LA, USA

    Karl A. LeBlanc

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Towfigh, S., Huynh, D.T.K. (2018). Postoperative Management (Routine and Complex Situations). In: LeBlanc, K. (eds) Laparoscopic and Robotic Incisional Hernia Repair. Springer, Cham. https://doi.org/10.1007/978-3-319-90737-6_13

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  • DOI: https://doi.org/10.1007/978-3-319-90737-6_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-90736-9

  • Online ISBN: 978-3-319-90737-6

  • eBook Packages: MedicineMedicine (R0)

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