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Robotic parastomal hernia repair: A single-center cohort study
Tommaso Violante1,2, Davide Ferrari1,3, Ibrahim A Gomaa1
1Department of Colon and Rectal Surgery, Mayo Clinic, 200 First St. Southwest, Rochester, MN, 55905, USA.
Updates in Surgery
|September 2, 2024
Summary
Robotic-assisted parastomal hernia repair (r-PSHR) is effective for symptomatic hernias after ostomy creation. This approach shows promising outcomes with acceptable complication rates and a low recurrence rate.
Area of Science:
- Surgical Innovation
- Gastrointestinal Surgery
- Robotic Surgery
Background:
- Parastomal hernia is a frequent complication after ostomy surgery.
- Symptomatic parastomal hernias often require surgical repair.
- Robotic-assisted surgery offers potential benefits for complex hernia repairs.
Purpose of the Study:
- To evaluate the effectiveness and safety of robotic-assisted parastomal hernia repair (r-PSHR).
- To assess surgical outcomes, complications, and recurrence rates of r-PSHR.
- To analyze patient demographics and hernia characteristics in a high-volume center.
Main Methods:
- Retrospective analysis of 86 patients undergoing r-PSHR using the Da Vinci Xi™ Surgical System.
- Primary technique: modified Sugarbaker intraperitoneal onlay mesh.
- Assessment of surgical variables, complications, and recurrence rates.
Main Results:
- Mean operative time was 257 minutes.
- Thirty-day morbidity was 40.7%, including ileus and surgical-site infections.
- Recurrence rate was 5.8% within 15 months post-surgery.
Conclusions:
- Robotic-assisted parastomal hernia repair (r-PSHR) is an effective treatment option.
- The procedure demonstrates a favorable safety profile and low recurrence rates.
- r-PSHR is a promising approach for managing parastomal hernias.
