Postoperative Management (Routine and Complex Situations)
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.
KeywordsRobotic Incisional hernia Postoperative management ERAS Enhanced recovery Seroma Postoperative pain Ileus Port-site hernia Trocar Cannula Suture hernia Intestinal injury
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