• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Ambulatory Robotic Ventral Hernia Repair In Morbidly Obese Patients Using Completely Bio- Resorbable Mesh, A MIS Fellow’s Experience with the First 100 cases.

Ibrahim Azer, MD, Thomas Shaknovsky, DO, Frederick Sabido, MD, FACS. Richmond university medical center ,staten island ,New York

INTRODUCTION: Robotic ventral hernia repair with a Bio-resorbable mesh has an equal or lower recurrence rate compared with permanent mesh at 18 months with no life time risk of mesh infection. Incidences of mesh-related infection after hernia repair of up to 8% have been reported . The rate of infection is influenced considerably by underlying co-morbidity, and seems to be increased in patients with diabetes, immunosuppression or obesity. Almost a third of patient had their infections diagnosed a year after mesh implant.

METHODS: We retrospectively collected data from our first 100 RVHR during the period of January 2015 to September 2016. All the robotic procedures were performed using the daVinci Si Surgical platform. Primary closure of the fascial defect and excision of hernia sac was performed in all cases. All patients received prophylactic IV antibiotics before surgery. Fixation of the mesh was performed with absorbable intra-corporeal sutures to the peritoneum only using intraperitoneal onlay mesh (IPOM ) method.

RESULTS: Patients were female in 43(43%) and male in 57(57%). Mean age was 54. mean ASA of 2.35. Mean BMI was 43 range (35-55). The following types of ventral hernia were found: incisional 37 (37%), Peri-umbilical 23(23%) , epigastric 29 (29%), multiple fascial defect 11(11%) . Mean surgical time was 86 minutes range (70-107).Mean Console time 42 minutes range (35-53).PACU stay time range (120-175) minutes All Patients were discharge Home Same Day. Mean follow up was 10 months with range (4-18). Urine retention developed in 1 patient (1%) and surgical site infection (SSI) developed in 2 patient (2%) at the robotic trocar site. There was no mesh infection seen so far .No recurrences were seen. No perioperative myocardial infarction (MI), pulmonary embolism (PE) or deep venous thrombosis (DVT) was seen.

CONCLUSIONS: RVHR has the advantages of lower complication and lower recurrence rate. It eliminates the need for drains and narcotics with faster return to normal activity and work with no life time risk of infection due to complete resorption of the mesh after 18 month period.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 80337

Program Number: P059

Presentation Session: Poster (Non CME)

Presentation Type: Poster

30

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons