EARLY OUTCOMES OF ROBOTIC ENHANCED VIEW TOTALLY EXTRAPERITONEAL VENTRAL HERNIA REPAIR: A SINGLE-CENTER EXPERIENCE

被引:0
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作者
Piltcher-Da-Silva, Rodrigo [1 ,2 ]
San Martin Soares, Pedro [3 ]
Bodanese, Beatriz Carolina Schuta [1 ]
Jasinski, Gabriel [1 ]
de Oliveira Makiyama, Ana Carolina [4 ]
Ruggeri, Joao Rafael Bora [1 ]
Coelho, Julio Cezar Uili [1 ]
Claus, Christiano Marlo Paggi [1 ]
机构
[1] Hosp Nossa Senhora Gracas, Gen & Digest Surg Dept, Curitiba, PR, Brazil
[2] Univ Fed Rio Grande do Sul, Postgrad Program Med & Surg Sci, Porto Alegre, RS, Brazil
[3] Univ Fed Pelotas, Postgrad Epidemiol Dept, Pelotas, RS, Brazil
[4] Hosp Nossa Senhora Gracas, Registered Nurse Robot Surg, Curitiba, PR, Brazil
关键词
Hernia; Hernia Ventral; Incisional Hernia; Robotics;
D O I
10.1590/0102-6720202400032e1825
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
BACKGROUND: Incisional hernia (IH) is an abdominal wall defect due to a previous esquistossomotica com sangramento de varizes e a desconexao azigo-portal mais laparotomy, and surgical repair is the only treatment. IH has a negative impact on patients' quality of esplenectomia (DAPE) associada a terapia endoscopica. Porem, estudos mostram aumento life. In the last decades, the approach has improved from open to laparoscopic and robotic surgery with the objective of promoting better abdominal wall function after reconstruction. Today, robotic do calibre das varizes em alguns pacientes durante o seguimento em longo prazo. : enhanced-view totally extraperitoneal (reTEP) is one of the most advanced techniques for abdominal Avaliar o impacto da DAPE e tratamento endoscopico pos-operatorio no comportamento wall reconstruction. AIMS: The aim of this study was to analyze the early results of patients with das varizes esof & aacute;gicas e recidiva hemorr & aacute;gica, de pacientes esquistossomoticos. M & eacute;todos: incisional hernia submitted to repair with reTEP. METHODS: This is a retrospective cohort study, Foram estudados 36 pacientes com seguimento superior a cinco anos, distribu & iacute;dos em and all patients who underwent reTEP surgery for ventral hernia in the years 2021 and 2022 were dois grupos: queda da press & atilde;o portal abaixo de 30% e acima de 30% comparados com o included. The only exclusion criteria were patients who underwent another type of herniorrhaphy. Statistical analysis was performed using the Stata software. RESULTS: A total of 32 participants were calibre das varizes esof & aacute;gicas no pos-operatorio precoce e tardio al & eacute;m do & iacute;ndice de recidiva submitted to reTEP; the majority had an incisional hernia, and according to the European Hernia hemorr & aacute;gica. Society, EUS-M score 3 was the most prevalent. The mean surgical time was 170 min, and the console esof & aacute;gicas que, durante o seguimento aumentaram de calibre e foram controladas com time was 142 min. Most patients stayed 2 days in the hospital. No intraoperative complications were reported. CONCLUSIONS: reTEP is a safe and effective technique and has favorable outcomes in the o comportamento do calibre das varizes no pos-operatorio precoce nem tardio nem os early postoperative period. Further studies with larger sample sizes and longer follow-up periods are needed to confirm these findings.
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页数:5
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