Description
Robotic Hiatal Hernia Repairs and Redo Options is a specialized webinar focused on advanced surgical approaches to treating hiatal hernias using robotic-assisted techniques. The session will explore the benefits of robotic surgery, such as improved precision, visualization, and reduced recovery times. It will also address the complexities of redo hiatal hernia repairs, including indications, challenges, and strategies for managing recurrences. Surgeons and healthcare professionals will gain valuable insights into patient selection, surgical planning, and long-term outcomes. This webinar is ideal for those looking to refine their skills or expand their knowledge in minimally invasive gastrointestinal surgery.
Summary Listen
- Robotic surgery for hiatal hernia repair offers advantages like enhanced precision, 3D visualization, and better maneuverability in tight spaces, particularly beneficial for the complex anatomy of the EGJ area. This technology aids in nerve preservation, vessel management, and accurate dissection, contributing to potentially lower recurrence rates. However, experience is crucial and the studies show that the results are similar if the surgeon has a lot of experience in laparoscopy.
- While early enthusiasm focused on robotic surgery for achalasia and other upper GI procedures, subsequent studies have shown comparable outcomes between laparoscopic and robotic approaches, with the main difference being the increased cost of robotics. Careful patient workup, including history, endoscopy, pH assessment, upper GI series, and manometry, is essential for both surgical approaches.
- Parasyphageal hernias are a clinical-anatomical entity that is found mostly in patients over 65 years of age. Robotic assistance shows clear benefit in large parasyphageal hernias, facilitating sac dissection and reducing the risk of damage to vital structures. Studies suggest potential benefits like reduced esophageal lengthening procedures and improved outcomes.
- Revisional surgery for failed hiatal hernia repairs presents a challenge. Robotic adhesiolysis, combined with techniques like Nissen takedown and transthoracic Belsey Mark IV, provides a valuable approach to address recurrent cases. The Belsey Mark IV procedure, when performed robotically in conjunction with takedown of the previous repair, moves the problem to a virgin area.
- The rapid evolution of artificial intelligence holds immense potential for surgery. Emerging applications include enhanced precision in surgical tools, accuracy in task recognition, and prediction of patient outcomes. The integration of AI into robotic systems, as demonstrated by early experiments using chatGPT with laparoscopic images, promises to further transform surgical workflows.
Sample Certificate
About the Speakers
Dr. Savvas Hirides
Clinical Assistant Professor, University of Nicosia, Cyprus
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