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Minatti WR, Rosales A, Mugianesi E, Bertani DJ. Proposal for encoding the surgical treatment in abdominal wall pathology based on a multidimensional analysis of history. Hernia 2024:10.1007/s10029-024-03086-w. [PMID: 38907881 DOI: 10.1007/s10029-024-03086-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2024] [Accepted: 05/31/2024] [Indexed: 06/24/2024]
Abstract
OBJECTIVE To develop a multidimensional method that allows to identify different treatment concepts, techniques, protagonists, and their connections in surgical pathology of the abdominal wall throughout its historical development, serving as a basis or guide for the future. METHOD First, an extensive and rigorous review of the literature was conducted to search for and group the different treatments described in the most common abdominal wall pathologies, including both groin and ventral hernias. Then, all treatment approaches were chronologically ordered and grouped according to their author, surgical approach, and method of approach. With all the information gathered, a table was created following a rational and multidimensional criterion that allows for the encoding of the set. RESULTS 21 treatment modalities were identified and distributed into 8 groups. Additionally, 3 types of authors were detected: the creator, the innovator, and the popularizer. The assignment of values to different dimensions allowed us to obtain an alphanumeric code representative of the set. CONCLUSION Multidimensional historical analysis allows analytical objectivity and set encoding. Its practical scope should be investigated.
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Affiliation(s)
- Walther R Minatti
- ARCO Surgical Center, Pasteur 986. Guaymallen, Mendoza, 5519, Argentina.
- Hospital Italiano, Mendoza, Argentina.
| | - Anabela Rosales
- ARCO Surgical Center, Pasteur 986. Guaymallen, Mendoza, 5519, Argentina
| | | | - Diego J Bertani
- ARCO Surgical Center, Pasteur 986. Guaymallen, Mendoza, 5519, Argentina
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Cheng X, Huang C, Jia W, Guo Z, Shi Y, Song Z, Feng H, Huang H, Xu S, Li H, Wang S, Zhang Y, Zhang T, Liu K, Ji X, Zhao R. Clinical status and future prospects of single-incision robotic-assisted surgery: a review. Int J Surg 2023; 109:4221-4237. [PMID: 37988410 PMCID: PMC10720873 DOI: 10.1097/js9.0000000000000944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Accepted: 11/13/2023] [Indexed: 11/23/2023]
Abstract
Since the advent of conventional multiport laparoscopic surgery, the prosperity of minimally invasive surgery has been thriving on the advancement of endoscopic techniques. Cosmetic superiority, recovery benefits, and noninferior surgical outcomes weigh single-incision laparoscopic surgery as a promising modality. Although there are surgical challenges posed by steep learning curve and technological difficulties, such as instruments collision, triangulation loss and limited retraction, the establishment of robotic surgical platform as a solution to all is inspiring. Furthermore, with enhanced instrument maneuverability and stability, robotic ergonomic innovations adopt the advantages of single-incision laparoscopic surgery and surmount its recognized barriers by introducing a novel combination, single-incision robotic-assisted surgery. As was gradually diffused in general surgery and other specialties, single-incision robotic-assisted surgery manifests privileges in noninferior clinical outcomes an satisfactory cosmetic effect among strictly selected patients, and has the potential of a preferable surgical option for minimally invasive surgery.
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Affiliation(s)
- Xi Cheng
- Department of General Surgery
- Shanghai Institute of Digestive Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Chenhao Huang
- Department of General Surgery
- Shanghai Institute of Digestive Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Wenqing Jia
- Department of General Surgery
- Shanghai Institute of Digestive Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Zichao Guo
- Department of General Surgery
- Shanghai Institute of Digestive Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yiqing Shi
- Department of General Surgery
- Shanghai Institute of Digestive Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Zijia Song
- Department of General Surgery
- Shanghai Institute of Digestive Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Haoran Feng
- Department of General Surgery
- Shanghai Institute of Digestive Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Haiyan Huang
- Department of General Surgery
- Shanghai Institute of Digestive Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Shuiyu Xu
- Department of General Surgery
- Shanghai Institute of Digestive Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Haosheng Li
- Department of General Surgery
- Shanghai Institute of Digestive Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Shaodong Wang
- Department of General Surgery
- Shanghai Institute of Digestive Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yaqi Zhang
- Department of General Surgery
- Shanghai Institute of Digestive Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Tao Zhang
- Department of General Surgery
- Shanghai Institute of Digestive Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Kun Liu
- Department of General Surgery
- Shanghai Institute of Digestive Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xiaopin Ji
- Department of General Surgery
- Shanghai Institute of Digestive Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Ren Zhao
- Department of General Surgery
- Shanghai Institute of Digestive Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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Lee CS, Chin JH, Han SR. How to do a single-port robotic totally extraperitoneal (TEP) inguinal hernia repair using the da Vinci SP platform. ANZ J Surg 2023; 93:1357-1359. [PMID: 36792554 DOI: 10.1111/ans.18328] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Accepted: 02/04/2023] [Indexed: 02/17/2023]
Abstract
Although 8 years have passed since the introduction of the da Vinci SP robotic system, rTEP surgery using the SP robot has never been introduced due to technical barriers. Through this study, we would like to share the possibility of safe and feasible TEP by da Vinci SP robotic platform beyond the technical barriers. As far as we know, SP robotic TEP implemented in our institution is the first introduced case, and I think it will be good information for surgeons who are thinking about TEP using SP robot.
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Affiliation(s)
- Chul Seung Lee
- Division of Colorectal Surgery, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Je Hyun Chin
- Division of Colorectal Surgery, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Seung-Rim Han
- Division of Colorectal Surgery, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
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Aghayeva A, Aytac E, Dinc T, Mutlu AU, Sahin I, Bilgin IA, Hamzaoglu I, Baca B. Learning curve analysis of robotic transabdominal preperitoneal inguinal hernia repair. Int J Med Robot 2020; 16:1-5. [PMID: 33289228 DOI: 10.1002/rcs.2150] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Revised: 08/01/2020] [Accepted: 08/11/2020] [Indexed: 01/14/2023]
Abstract
BACKGROUND The purpose of this study was to assess the learning curve (LC) for inguinal hernia repair with robotic transabdominal preperitoneal (R-TAPP) approach. METHODS Between April 2016 and October 2019, patients who underwent R-TAPP were retrieved. Patient demographics, operative variables and postoperative outcomes were assessed. The moving average method and cumulative sum of operation times (OT) were used to evaluate the LC. The surgeon (BB) in this study had completed his laparoscopic (Lap) TAPP experience. RESULTS There were 50 (two females) consecutive patients (mean age was 51.7 ± 16.9 years). The first phase (learning phase) included initial 35 operations. The second phase included the next 15 operations. It was observed that, with increasing experience, a statistically significant shortening in the average OT by about 25 min was achieved (p = 0.041). CONCLUSION The LC phase for R-TAPP, for surgeon with previous experience in Lap TAPP, seems to be very quick without compromising the operative morbidity.
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Affiliation(s)
- Afag Aghayeva
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - Erman Aytac
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - Taha Dinc
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | | | - Inci Sahin
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - Ismail Ahmet Bilgin
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - Ismail Hamzaoglu
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - Bilgi Baca
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
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Aghayeva A, Benlice C, Bilgin IA, Bengur FB, Bas M, Kirbiyik E, Aytac E, Baca B. Laparoscopic totally extraperitoneal vs robotic transabdominal preperitoneal inguinal hernia repair: Assessment of short‐ and long‐term outcomes. Int J Med Robot 2020; 16:e2111. [DOI: 10.1002/rcs.2111] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Revised: 04/04/2020] [Accepted: 04/07/2020] [Indexed: 11/11/2022]
Affiliation(s)
- Afag Aghayeva
- Department of General SurgeryAcibadem Mehmet Ali Aydinlar University School of Medicine Istanbul Turkey
| | - Cigdem Benlice
- Department of General SurgeryAcibadem Mehmet Ali Aydinlar University School of Medicine Istanbul Turkey
| | - Ismail A. Bilgin
- Department of General SurgeryAcibadem Mehmet Ali Aydinlar University School of Medicine Istanbul Turkey
| | - Fuat B. Bengur
- Acibadem Mehmet Ali Aydinlar University School of Medicine Istanbul Turkey
| | - Mustafa Bas
- Acibadem Mehmet Ali Aydinlar University School of Medicine Istanbul Turkey
| | - Ebru Kirbiyik
- Department of General SurgeryAcibadem Mehmet Ali Aydinlar University School of Medicine Istanbul Turkey
| | - Erman Aytac
- Department of General SurgeryAcibadem Mehmet Ali Aydinlar University School of Medicine Istanbul Turkey
| | - Bilgi Baca
- Department of General SurgeryAcibadem Mehmet Ali Aydinlar University School of Medicine Istanbul Turkey
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Mikhin IV, Polyakov AA, Kosivtsov OA, Ryaskov LA. [Endoscopic surgery and laparoscopy are new insights of evolution of inguinal hernia repair (in Russian only)]. Khirurgiia (Mosk) 2019:121-128. [PMID: 30938367 DOI: 10.17116/hirurgia2019031121] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This article is devoted to general and particular problems of inguinal hernia repair through the analysis of statistical data and comparison of advantages and disadvantages of various methods of inguinal hernia repair. Particular attention is paid to the analysis of current options of mesh implant fixing during endoscopic hernia repair: TAPP, TER, e-TER. Long-term outcomes are essential to determine surgical technique. The authors consider that careful adherence to the basic principles of minimally invasive surgery can reduce the incidence of complications, recurrences and chronic pain syndrome after inguinal hernia repair. The main advantages of current surgical technologies are accelerated rehabilitation, earlier restoration of social activity, improvement of the quality of life.
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Affiliation(s)
- I V Mikhin
- Chair of Surgical Diseases of Pediatric and Dental Faculties, Volgograd State Medical University of Ministry of Health of the Russian Federation, Volgograd, Russia
| | - A A Polyakov
- Chair of Surgical Diseases of Pediatric and Dental Faculties, Volgograd State Medical University of Ministry of Health of the Russian Federation, Volgograd, Russia
| | - O A Kosivtsov
- Chair of Surgical Diseases of Pediatric and Dental Faculties, Volgograd State Medical University of Ministry of Health of the Russian Federation, Volgograd, Russia
| | - L A Ryaskov
- Chair of Surgical Diseases of Pediatric and Dental Faculties, Volgograd State Medical University of Ministry of Health of the Russian Federation, Volgograd, Russia
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Tam V, Rogers DE, Al-Abbas A, Borrebach J, Dunn SA, Zureikat AH, Zeh HJ, Hogg ME. Robotic Inguinal Hernia Repair: A Large Health System's Experience With the First 300 Cases and Review of the Literature. J Surg Res 2018; 235:98-104. [PMID: 30691857 DOI: 10.1016/j.jss.2018.09.070] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Revised: 08/20/2018] [Accepted: 09/24/2018] [Indexed: 12/11/2022]
Abstract
BACKGROUND Over the past 5 y, robotic surgery has expanded within general surgery, especially in regard to hernia repairs. We aimed to evaluate the outcomes of the early experience of over 300 consecutive robotic inguinal hernia repairs performed in an academic multihospital system. METHODS Consecutive robotic inguinal hernia repairs performed between December 2015 and June 2017 were analyzed. Retrospective chart review was performed, and hospital records were queried. Descriptive statistics were performed. A surgical learning curve case study is presented, breakdown of operative time is delineated, and review of the literature performed. RESULTS Over a period of 19 mo, 335 robotic inguinal hernia repairs were performed across seven hospitals by 18 surgeons. The mean patient age was 59 y (standard deviation [SD] 14), 93% were male, and the mean body mass index was 27 (SD 4.6). Bilateral hernia repairs were performed on 131 patients (39%). The mean operative time was 102 min (SD 38) and a resident or fellow trainee was present in the operating room for 119 cases (36%). Minor postoperative complications occurred in 54 patients (16%), including 14 with urinary retention (4.2%) and 13 with scrotal swelling (3.9%). The learning curve of the first adopted surgeon was 11-12 cases. CONCLUSIONS In the largest case series of robotic inguinal hernia repairs to date reporting short-term outcomes, early experience in an academic multihospital system produced safe outcomes including no open conversions, reoperations, and one readmission. In addition, the learning curve is manageable showing improvement in operating time with experience.
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Affiliation(s)
- Vernissia Tam
- Division of Surgical Oncology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
| | - Devin E Rogers
- Division of Surgical Oncology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
| | - Amr Al-Abbas
- Division of Surgical Oncology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
| | - Jeffrey Borrebach
- Wolff Center at UPMC, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
| | - Stefanie A Dunn
- Wolff Center at UPMC, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
| | - Amer H Zureikat
- Division of Surgical Oncology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
| | - Herbert J Zeh
- Division of Surgical Oncology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
| | - Melissa E Hogg
- Division of Surgical Oncology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
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Fernandes MNDF, Esteves RB, Teixeira CAB, Gherardi-Donato ECDS. The present and the future of Nursing in the Brave New World. Rev Esc Enferm USP 2018; 52:e03356. [PMID: 30043931 DOI: 10.1590/s1980-220x2017031603356] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Accepted: 02/27/2018] [Indexed: 11/21/2022] Open
Abstract
The "Brave New World" envisioned a society dominated by scientific and technological progress that went as far as to subjugate and dehumanize human beings. The future foreseen in this literary work is not far from what we are currently experiencing. Thus, considering that Nursing is affected and challenged in the midst of these technological transformations, this article aims to discuss the present and future of Nursing in a society that is undergoing constant technological transformations. In the midst of a whole technological apparatus in which fundamental procedures begin to be carried out by machines, Nursing needs to begin reflecting on what would be the best posture or its differential in a world with strong technological tendencies. Future transformations are still uncertain, nonetheless they will drastically change the way individuals relate to one another and to health services. Even in the midst of these uncertainties arising from present and future technological and scientific advances, the nature of Nursing which is essentially based on human interactions, can guarantee a place of prominence for this profession in society.
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Affiliation(s)
- Maria Neyrian de Fátima Fernandes
- Universidade Federal do Maranhão, Coordenação de Enfermagem, Imperatriz, MA, Brasil.,Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Programa de Pós-Graduação em Enfermagem Psiquiátrica e Ciências Humanas, Ribeirão Preto, SP, Brasil
| | - Rafael Braga Esteves
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Programa de Pós-Graduação em Enfermagem Psiquiátrica e Ciências Humanas, Ribeirão Preto, SP, Brasil
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Buenafe AAE, Lee-Ong AC. Laparoendoscopic single-site surgery in inguinal hernia repair. Asian J Endosc Surg 2017; 10:244-251. [PMID: 28703439 DOI: 10.1111/ases.12401] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2017] [Accepted: 05/22/2017] [Indexed: 11/30/2022]
Abstract
Laparoendoscopic single-site surgery (LESS) for laparoscopic inguinal hernia repair (IHR) offers the potential for excellent cosmetic outcomes and maximization of the inherent advantages of minimally invasive surgery. LESS IHR is associated with a steep learning curve, which is attributable to both the IHR technique itself and the single-site technique. The technical obstacles in the single-site technique may be mitigated by employing certain maneuvers and strategies that minimize clashing between instruments and improve freedom of movement. The current literature consistently points out the inherent challenges in LESS IHR, with its longer operative time compared to that of conventional laparoscopic IHR. LESS IHR performed by capable operators has comparable complication rates, duration of hospital stay, and incidence of recurrence as conventional laparoscopic IHR. LESS IHR is both feasible and safe. Given its excellent cosmetic outcome, it is likely to be sought by younger patients who are concerned with scar formation. The use of robotics may bypass the technical challenges in LESS, but cost considerations in their usage will likely persist.
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Affiliation(s)
- Alfred Allen E Buenafe
- Philippine Center for Advanced Surgery, Cardinal Santos Medical Center, San Juan, Philippines
| | - Alembert C Lee-Ong
- Philippine Center for Advanced Surgery, Cardinal Santos Medical Center, San Juan, Philippines.,Manila Doctors Hospital, Manila, Philippines
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