Robot-assisted laparoscopic repair of ventral hernia with intracorporeal suturing: An experimental study

S. Schluender, J. Conrad, C. M. Divino, B. Gurland

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Background: This study presents a novel technique for laparoscopic ventral hernia repair using the da Vinci Robot and intracorporeal suturing. Thus, it offers an alternative to transabdominal sutures and tackers. Methods: A ventral hernia model was created in six pigs. The mesh was fixed to the circumference of the fascia using interrupted sutures. The outer border of the mesh was then fixed to the posterior fascia using running sutures. Results: There were no complications. The depth and location of the interrupted and running sutures were confirmed postmortem. Conclusions: The transabdominal sutures and tackers used in laparoscopic ventral hernia repair can be the focus for postoperative pain and adhesions. As an alternative, the da Vinci Robot can be used to facilitate intracorporeal suturing of the mesh directly to the fascial edge and to secure the circumference of the mesh to the posterior fascia. The preliminary results are promising and represent a safe method that can be implemented in humans.

Original languageEnglish
Pages (from-to)1391-1395
Number of pages5
JournalSurgical Endoscopy and Other Interventional Techniques
Volume17
Issue number9
DOIs
StatePublished - 1 Sep 2003
Externally publishedYes

Keywords

  • Animal model
  • Da Vinci Robot
  • Incisional hernia
  • Laparoscopic ventral hernia repair
  • Laparoscopy
  • Ventral hernia

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