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This book provides a guide to procedures and techniques related to robotic hernia repair. Sections covering inguinal, incisional, and diaphragmatic hernias are included. Each section will cover the setup of the operating room and the management of adverse events specific to the hernia. The steps involved in performing an operation and key components to a successful repair are also covered The book aims to cover recent technology and updates related to robotic hernia repair. Robotic Assisted Hernia Repair is relevant to robotic hernia surgeons, fellows training in minimally invasive surgery, and general surgical residents.
This atlas demonstrates how to perform each available extraperitoneal hernia repair via a set of high-quality annotated images showing step-by-step guidance on how to perform the surgery. Robotic extraperitoneal hernia procedures are considered great teaching procedures especially with a dual teaching console. The book bridges the gap between traditional hernia and laparoscopic hernia texts by combining both approaches to create a book with a unique visual approach. Preoperative, intraoperative, and postoperative figures are integrated to highlight the importance of these step-by-step procedures, enhance skill and efficiency, and avoid surgical pitfalls. Detailed descriptive figures accompany step-by-step instructions and include specific anatomical annotations that describe the anatomy and layers of the abdominal wall during hernia procedures. Robotic Hernia Surgery provides a comprehensive, insightful and state-of-art review of this field, and serves as a valuable resource for surgeons, surgeons in training, and students with an interest in hernia and robotic hernia surgery.
This book is a surgical manual, intended to present and discuss the use of robotic surgery for abdominal wall hernia repair. It comprises the most important surgical approaches in the field, presenting step by step procedures in a clear and didactic way. Abdominal wall hernias are very common conditions, easily identifiable in clinical practice and that usually require a surgical intervention as treatment. However, the choice for the right surgical procedure to treat those conditions may vary, provided the diversity on possible techniques, clinical presentations and complexity. Robotic surgery has emerged in recent years as an important tool to increase the number of surgical approaches for the surgeon who faces abdominal wall hernias. Video-assisted and robotic surgery may represent a consistent improvement in options available for the surgeon involved in wall hernia repair. Current robotic surgical techniques present several of the benefits of common laparoscopic surgery features (such as low invasiveness and fast recovery), and adds some other specific benefits, such as more dynamic and precise movements and a much better view of the operatory field. Robotic Surgery for Abdominal Wall Hernia Repair is intended to help surgeons to manage this disease from another point of view and to choose the best procedures in each case, pushing medical practice to another level of decisions, investigation and follow up, considering the use of new technologies in robotic surgery. It intends to be a reference manual to medical practitioners who has surgical skills in their backgrounds, but that are not familiar with the use of minimally invasive procedures for abdominal wall complex defects.
The field of hernia repair, in general, has evolved over the last 25 years. The changes that have followed the introduction of this technique have continued and have even increased in the last few years. There is a need to inform the practicing general surgeon about these advances. This text will seek to present the most up to date and important considerations to date. The book will open with a brief history and evolution of the technology surrounding the repair of incisional and ventral hernias laparoscopically and include the introduction of the robotic technology. Prosthetic biomaterials are an integral part of the successful repair of hernias and a comprehensive presentation of these products will be presented. Preoperative preparation of the patient has now been recognized as a method to improve outcomes in these patients and will be addressed.Technical aspects of the repair of these hernias will then follow in an orderly fashion to include the general considerations of the methodology. The “best practices” of these methods will be presented with appropriate figures and illustrations. The management of difficult situations as well as expected outcomes will be discussed. It is the intent of this text that any surgeon interested in the use of the minimally invasive techniques to repair the incisional and ventral hernias of the abdominal wall will have this resource presenting current opinions and methods. The “thought leaders” in these methods will be the authors of these chapters. This title differs from the Springer related title Novitsky, Hernia Surgery. The Novinsky is more comprehensive at 530 pages. It contains many more illustrations and video. The LeBlanc focuses on Laparoscopic and Robotic Hernia surgery with an estimated page count of 300-350. The LeBlanc presents current opinions of the thought leaders. Therefore, the subtitle: Current Considerations.
The repair and management of inguinal hernias represents a significant part of the general surgeon's workload. It was therefore inevitable that following the success of laparoscopic cholysysectomy, surgeons would develop a procedure for repairing inguinal hernias laparoscopically. This book provides the first comprehensive account of laparoscopic inguinal hernia repair. The Editors' aim has been to give step-by-step guidance to each operative procedure discussed with reference to long term results. One of the biggest problems facing surgeons learning new laparoscopic procedures is an understanding and orientation of basic anatomy when viewed through the laparoscope. This issue is discussed at length with guidance on how to avoid the common pitfalls. Final chapters look at the advantages and disadvantages of the Lichtenstein open mesh hernia repair approach, safety and properties of non-absorbal mesh with the last chapters concentrating on laparoscopic suture repair and the new mini hernia operation.
Deep knowledge of anatomy and surgical technique will continue to remain the foundation of surgery despite advancement in surgical technology. Robotic surgery usage has increased drastically in the last decade. More than ever before, surgical community in great need for an updated atlas in the various upper GI surgical procedures and techniques available. This atlas demonstrates how to perform the most common Upper GI robotic procedure via a set of high-quality state-of-the-art annotated images showing step-by-step guidance providing pertinent and concise procedure descriptions spanning benign and malignant upper GI problems. Robotic upper GI procedures are considered technically demanding with attention to details thus are considered great teaching procedures especially with dual robotic consoles, simulation, and teleproctoring. Preoperative, intraoperative, and postoperative figures are integrated to highlight the importance of these step-by-step procedures, enhance skill and efficiency, and avoid surgical pitfalls. Detailed descriptive figures accompany step-by-step instructions and include specific anatomical annotations that describe the anatomy during upper GI procedures. Atlas of Robotic Upper Gastrointestinal Surgery will provide a comprehensive, insightful and state-of-art review of this field, and will serve as a valuable visual resource for surgeons, surgeons in training, and students with an interest in robotic upper GI surgery. All chapters are written by an international group of experts in their field, to provide a comprehensive atlas for specialists and trainees, this illustrated book will give a current and concise summary of all key topics and recent developments in upper GI surgery.
Primary and incisional ventral hernias are common conditions often encountered in surgical practice. Because of the frequency of this problem it has come to be managed by surgeons in general, regardless of the type of hospital or the conditions dealt with in their daily practice. Laparoscopic surgery has demonstrated to have an important role among the different technique described to repair ventral hernia with less recurrent rate, less morbidity and less overall cost than open conventional repair, with all the advange of the laparoscopic approach. As a result the indications for this surgical technique are currently being debated since the advantages are evident and progressive implementation is ensured. Now is the time to analyze the usefulness, results, technical variants, anatomic, physiologic and scientific basis and implications involved in implementation of laparoscopy as the technique of choice.
Meeting the need for a practical, data-driven reference in this rapidly advancing field, Principles and Practice of Robotic General Surgery, edited by Drs. Yuman Fong, Alessio Pigazzi, Loretta Erhunmwunsee, Dina Podolsky, and Dana Dale Portenier, presents state-of-the-art content for surgeons at all levels of training and expertise. Section One covers the history, platforms, and the organization, operating room architecture, and training issues revolving around robotic surgery; Section Two contains more than two-dozen discipline-based chapters outlining common robotic procedures in general surgery.
Minimally invasive surgery has impacted the outcomes of surgery more than any technology since the development of sterile technique. The hard science has demonstrated that decrease in wound complications and recovery time has created the biggest gap with open approaches to surgery. The total economic benefit may be unfathomable when looked at comprehensively. Integral to the rise of minimal access and therapeutic techniques in surgery has been the growth of technological improvements over time. Beginning with insufflators, videoscopy, and energy devices, that evolution has continued into the development of tele-surgical devices that feature full articulation of instruments, high-resolution 3-D optics, and computer assisted movement. This has come with controversy – as the dominant manufacturer of robotic assisted devices, Intuitive Surgical, and their generations of da Vinci surgical platforms, holds enough market share to spur cries of monopoly and financial excess. However, with over 3000 world-wide systems in use, and over 6000 peer-reviewed research articles, the impact of robotic surgery cannot be ignored. The current state of data suggests equivalency in most procedures with regard to traditional outcome measures, equal or somewhat elevated costs, with specific areas of superiority. The first section of this textbook, Surgical Robots, covers the history, economics, training, and medico-legal aspects of robotic surgery that will be of interest to students, residents, fellows, surgical staff, and administrators or public health specialists who seek to gain a comprehensive background on robotic surgery, or justification for purchasing a robotic system for their institution. Surgeons will also find this background valuable to their practice, to give context to their procedures so they can better counsel their patients, help with advocating for robotic platform purchases, and proactively prepare themselves for medico-legal issues. The chapter on legal issues will have specific instances of robotic surgery-related lawsuits and their outcomes, a first for robotic surgery texts. The second section of this textbook, Robotic Procedures, will contain a comprehensive catalogue of procedures that have been performed robotically in general surgery, gynecology, urology, plastic surgery, cardiothoracic, and otolaryngology. Each author will cover the existing literature, preoperative planning, room and patient setup, steps of the procedure, and postoperative care. Standardized room maps and port placement will help the student, resident, fellow, surgeon or OR Staff to quickly reference these before cases. Each chapter will also cover the specific equipment needs and expected complexity of the procedures, allowing administrators to better gauge how to prepare for, or ration, use or their robotic resources. The final section, Future of Robotics, will give the entire scope of audience a look into what exciting advancements in the field are on the horizon. This textbook is a complete resource for robotic-assisted minimally invasive surgery, covering the history, current state, technical and clinical aspects, and future considerations that may be of interest to any who has a role, stake, or curiosity regarding robotic surgery.
This textbook provides a state-of-the-art reference in the rapidly changing field of hernia surgery. With contributions by key opinion leaders in the field, this book describes the latest trends and detailed technical modifications for both routine and complex hernias. The reader will gain unique insights into robotic and laparoscopic repairs, anterior and posterior component separations, reconstructions in the setting of contamination, enterocutaneous fistulas and loss of abdominal domain. Important contributions from key reconstructive plastic surgeons detail modern trends on how to deal with complex skin and soft tissue challenges. The textbook provides unparalleled step-by-step instructions to perform both routine and complex repairs by incredible illustrations, intra-operative color photographs and a unique video collection of procedures performed by today’s top hernia surgeons. As a comprehensive and most up-to-date reference to modern treatment algorithms, trends in prosthetic science and technique selections, Hernia Surgery: Current Principles will be an invaluable resource to all residents and practicing general, plastic, and trauma surgeons to help them succeed in the field of Hernia surgery.