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 16 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.

Detailed presentation of robot-assisted hernia surgeries and the respective anatomy Illustrated with numerous drawings and surgical photos and 15 instructive surgical videos Top-tier international team of editors and authors Additional multimedia content accessible in browser or via SN More Media App

Autorentext

Dr. Omar Yusef Kudsi, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston MA, USA

Prof. Dr. Dr. Ulrich Andreas Dietz, FEBS-AWS (Hon), Klinik für Viszeral, Gefäss- und Thoraxchirurgie, Kantonsspital Olten, Schweiz

Prof. Dr. Guido Beldi, Universitätsklinik für Viszerale Chirurgie und Medizin, Inselspital, Bern, Schweiz

Univ.-Prof. Dr. René Fortelny, FEBS-AWS (Hon), Lehrstuhl für Allgemeinchirurgie, Sigmund-Freud Privat-Universität, Wien, Österreich

Univ.-Prof. Dr. Armin Wiegering, Klinik und Poliklinik für Allgemein-, Viszeral-, Transplantations-, Gefäß- und Kinderchirurgie, Universitätsklinikum Würzburg, Deutschland

Inhalt

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.