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Pelvic Hernias

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Robotic Assisted Hernia Repair

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Abstract

Professor LeBlanc invited us to help in this task with this book “Robotic Assisted Hernia Repair”. LeBlanc comes back with this representative in innovation and uptodate responsibility when we are able to apply new technology in a safe way in benefit of the patient. This contribution to the literature must be inclusive in perineal hernial defects.

Pelvic hernias is this chapter title. This text will consider the hernias of the posterior pelvic floor, despite of its will be in the inguinal section. Perineal hernias result form contents protusion of the abdomen through the pelvic floor musculature. Anterior perineal hernias occur in females only, while posterior perineal hernias may occur in both genders. We will consider acquired perineal hernias called pelvic hernias from now on. They are secondary perineal hernias after pelvic opperations, mostly cancer diseases of the rectum and anus submitted to abdominoperineal resection. We consider cancer treated who developed pelvic hernia, they were patients our experience at Cancer Institute of State of São Paulo, Brazil. These patients are somehow isolated from their oncologic therapy because they have a new benign disease, not cancer. They are disregarded by their oncological team, but at the time they are referred to a hernia surgeon this specialist try to send back this patient to the Cancer Institute.

The Cancer Institute tackled the challenge by considering minimally invasive surgery robot assisted in these difficult cases. Robot arm torque, machine stability and wrist maneuvers were crucial to plan and treat these cases to have them better recovered and precociously be out of the hospital.

Thus, this is a concept based technique of robotic surgical therapy of the pelvic defects.

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Authors and Affiliations

  1. Department of Digestive Surgery, Hospital das Clinicas of University of Sao Paulo Medical School, Sao Paulo, Brazil

    Ricardo Zugaib Abdalla & Thiago Nogueira Costa

Authors
  1. Ricardo Zugaib Abdalla
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  2. Thiago Nogueira Costa
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Correspondence to Ricardo Zugaib Abdalla .

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Editors and Affiliations

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

    Karl A. LeBlanc

Glossary

Abdominoperineal Excision (APE)

Surgical procedure to treat distal rectal and anal carcinoma, in which an anastomosis cannot be done.

Extralevator APE (ELAPE)

Surgical procedure proposed by Holms. et al., to improve local tumor control and with the aim to reduce local recurrence.

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Abdalla, R.Z., Costa, T.N. (2019). Pelvic Hernias. In: LeBlanc, K. (eds) Robotic Assisted Hernia Repair. Springer, Cham. https://doi.org/10.1007/978-3-030-23025-8_10

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  • DOI: https://doi.org/10.1007/978-3-030-23025-8_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-23024-1

  • Online ISBN: 978-3-030-23025-8

  • eBook Packages: MedicineMedicine (R0)

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