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.
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.
Dr. Omar Yusef Kudsi, Department of Surgery, Brigham and Womens 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
