Full Description
The possibilities and limitations of robot-assisted hernia surgery are presented in this book by an international team of authors in all their facets. The focus is on step-by-step descriptions of individual procedures for different indications and the detailed description of the anatomical conditions as they appear to the surgeon during the robot-assisted approach. Numerous drawings and surgical photographs, specially created for the book, illustrate the presentation and are complemented by a total of 15 videos of the surgical procedures, which can be accessed from the book using the publisher's MoreMedia app. Additional chapters address patient-related and scientific foundations and consider the procedures in their social and economic context.
Contents
What is a hernia? Explaining hernia to the patient.- The importance of comorbidities in the planning of hernia surgery.- The patient with hernia and morbid obesity: When and what to operate on first?.- When sarcopenia becomes a problem in hernia patients.- Perioperative handling of oral anticoagulants.- Hernias in women of childbearing age: special patient counseling.- ACNES: A pain syndrome of the abdominal wall that simulates visceral pain.- Chronic pain in hernia surgery: Preoperative risk assessment and recommendations.- Tranversus abdominis plane block.- Operation indication yes or no: watchful waiting in hernia patients.- The patient with recurrent hernia.- Botulinum toxin A for the prehabilitation of complex hernias.- Knowing and fulfilling expectations - surgical information on hernia surgery.- Biocompatibility and cellular mechanisms of mesh incorporation.- What do fibroblasts think about synthetic meshes? A tissue engineering neofascia model.- Adhesions, incorporation and material fatigue: findings from mesh explantations.- Hernia meshes in the contaminated field.- Does getting older mean getting a recurrence? Assessing aging correctly.- Principles of mesh overlap and hernia gap closure.- Mesh fixation.- Planning of robotic hernia repair.- Learning curves of robotics in hernia surgery.- Abdominal Wall Surgery Education in Europe.- EPAs: when can what be entrusted in continuing education?.- Models for robotic hernia surgery.- Introduction: Ventral hernias.- Guidelines and classification: Ventral hernias.- Anatomy of the navel.- Anatomy of the linea alba.- Robotic primary ventral hernia repair (r-vTAPP).- Robotic eTEP for umbilical and epigastric hernias.- Robotic transabdominal retromuscular umbilical patchplasty (r-TARUP).- Robotic treatment of rectus diastasis.- The "Inan-inverting plication" in rectus diastasis.- Robotic-assisted repair of Spieghel hernias.- Robotic-assisted repair of lumbar hernias.- Introduction: Inguinal and femoral hernia.- Guidelines and classification: Inguinal and femoral hernia.- Endoscopic anatomy of the posterior groin.- Robotic transabdominal inguinal and femoral hernia repair (r-TAPP 2.0).- Robotic total extraperitoneal inguinal and femoral hernia repair (r-TEP).- Robotic-assisted retroperitoneal triple neurectomy.- Robotic-assisted mesh explantation from the groin.- Guest commentary: The robotic TAPP from the perspective of the laparoscopist
Introduction: Incisional hernias.- Guidelines and classification: Incisional hernias.- Anatomy of the anterior abdominal wall.- Anatomy of the anterior abdominal wall in MRI and CT imaging.- Anatomy, embryology and pathophysiology of the peritoneum.- Pathophysiology of the abdominal wall and its scars (alt_59_Petter-Puchner/Austria).- Solutions and hazards in the retrorectus space.- Anatomy of the diaphragm and the subxiphoidal region.- Robotic-assisted transversus abdominis release (r-TAR) of large midline incisional hernias.- Robotic-assisted repair of combined median-paramedian incisional hernias with intraperitoneal mesh (r-IPeM).- C-section hernia.- Internal hernias.- Introduction: parastomal hernias.-
Guidelines and classification: parastomal hernias.- Anatomy of the anterolateral abdominal wall with regard to stomas.- Anatomy of intestinal and urological stomas.- Robotic treatment of the parastomal hernia.- Robotic implantation of prophylactic meshes for the creation of permanent stomas.- Introduction: Hiatal hernias.- Guidelines and classification: Hiatal hernias.- Determination of esophageal motility prior to planned antireflux surgery.- Robotic-assisted hiatal hernia repair.- Meshes for the esophageal hiatus.- Complications, outcomes and quality of life after hiatal hernia repair.- Robotic-assisted treatment of perineal hernias and mesh reconstruction of the pelvis after abdominoperineal rectal extirpation.- Detection of complications after hernia operations in the context of outpatient surgery.- When is it time for competitive sports again after hernia surgery?.- Diagnosis and treatment of seroma.- Prolongated postoperative pain after hernia surgery.- PROM's and PREM's? How patients perceive hernia operations.- Cost optimization in robotic surgery.- The reluctance of the ignorant and the enthusiasm of console artists.- Correlation, causality and robotic surgery: the future has begun.- Scientific progress, economic growth and the utopia of falling care costs in hernia surgery.- Economic considerations on the use of surgical robots.- Robotic platforms for surgery.- Virtual, extended and augmented reality: robotic surgery of the future.- Applications of artificial intelligence (AI) in minimally invasive surgery.- Data-driven technologies: Digitizing hernia surgery.- Dark side of robotic abdominal wall reconstruction.
