Procedimento de Rives/Stoppa modificado robô-assistido para correção de hernias ventrais da linha média

BACKGROUND:The weakness of the linea alba can be caused by congenital and aquired factors. The conventional procedure to correct these imperfections generally involve large incisions with big detachments of the skin and subcutaneous tissue. The use of videosurgery for the repair of these weaknesses is still controversy. AIM: To describe a new procedure using robotics in the repair of the linea alba, associating minimally invasive tecniques by Rives/Stoppa and component separation tecniques. METHODS: Five patients undergone surgery in the same hospital, the same operating team and using the Da Vinci S. robotics equipment. RESULTS: Three women and two men undergone surgery, with no mortality. Two of these patients were re-operated due a recurrent hernia between muscle and posterior sheath that was closed in the re-access. CONCLUSIONS: The robotic procedure in the reconstruction of the linea alba showed itself feasible and aesthetically acceptable. Also, in advantage, the procedure follows the traditional principals reputable by experts of the abdominal wall trough minimally invasive surgery.

[1]  M. Carlson,et al.  Ventral Hernia and Other Complications of 1,000 Midline Incisions , 1995, Southern medical journal.

[2]  A. Park,et al.  Laparoscopic Repair of Ventral Hernias: Nine Years’ Experience With 850 Consecutive Hernias , 2003, Annals of surgery.

[3]  T. Santora,et al.  Incisional hernia. , 1993, The Surgical clinics of North America.

[4]  A. Park,et al.  Prospective, multicenter study of laparoscopic ventral hernioplasty , 1998, Surgical Endoscopy.

[5]  J. Jeekel,et al.  A comparison of suture repair with mesh repair for incisional hernia. , 2000, The New England journal of medicine.

[6]  A. Park,et al.  Laparoscopic ventral and incisional hernia repair in 407 patients. , 2000, Journal of the American College of Surgeons.

[7]  J. Canarelli,et al.  [Indications for selective operative procedures in the treatment of post-operative eventrations of the anterolateral abdominal wall (author's transl)]. , 1979, Chirurgie; memoires de l'Academie de chirurgie.

[8]  C. de la Cuesta,et al.  Laparoscopic treatment vs open surgery in the solution of major incisional and abdominal wall hernias with mesh , 1999, Surgical Endoscopy.

[9]  E. Verdaasdonk,et al.  Long-term Follow-up of a Randomized Controlled Trial of Suture Versus Mesh Repair of Incisional Hernia , 2004, Annals of surgery.

[10]  S. Sauerland,et al.  Classification and surgical treatment of incisional hernia , 2001, Langenbeck's Archives of Surgery.

[11]  P. Verhaeghe,et al.  [Surgical treatment of supraumbilical eventrations]. , 1992, Journal de chirurgie.

[12]  J. Jeekel,et al.  An evaluation of risk factors in incisional hernia recurrence. , 1993, Surgery, gynecology & obstetrics.

[13]  Oswaldo Vázquez Vega.  Diagnóstico y tratamiento quirúrgico de la úlcera gastro-duodenal , 1971 .

[14]  S. Sauerland,et al.  Classification and surgical treatment of incisional hernia. Results of an experts' meeting. , 2001, Langenbeck's archives of surgery.

[15]  S. Vargas,et al.  Diagnóstico y tratamiento quirúrgico , 2005 .

[16]  K. LeBlanc,et al.  Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. , 1993, Surgical laparoscopy & endoscopy.

[17]  J. Whitaker,et al.  Laparoscopic incisional and ventral herniorrhaphy in 100 patients. , 2000, American journal of surgery.