Noah B Zuker, MD, FACS, Michael R Oakley, MD. Claxton-Hepburn Medical Center
Minimally invasive abdominal wall reconstruction continues to evolve with technological advancement. This video describes a useful method for modified robotic retrorectus hernia repair with improved visualization and surgeon ergonomics. The use of an inverted camera image is demonstrated with reassignment of the surgical instruments and robotic arms to facilitate dissection technique. This is illustrated during a retrorectus Rives-Stoppa style incisional hernia repair using the Da Vinci Xi platform.
The inverted image provides a useful alternative perspective that decreases surgeon fatigue and complements ergonomic console design. Using this technique a ‘normalized’ view of the surgical field that mimics open surgery is created. Inverting the camera may enhance economy of dissection and identification of landmarks. Hernia defect closure and restoration of abdominal wall function is accomplished with mesh reinforcement. The use of an inversion technique enhances abdominal wall hernia repair by augmenting surgeon skill and visualization.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 93217
Program Number: V009
Presentation Session: Hernia / Miscellaneous Potpourri
Presentation Type: Video