Description
Robotic Retromuscular Hernia Repair: Addressing Umbilical Hernia and Divarication of Recti This webinar explores the evolving role of robotic-assisted retromuscular techniques in the management of umbilical hernia and divarication of recti. The session will highlight patient selection, anatomical considerations, and key steps of the robotic approach that enable precise dissection and optimal mesh placement. Experts will discuss technical nuances, perioperative decision-making, and strategies to minimize complications while improving functional and cosmetic outcomes. Comparative insights with conventional open and laparoscopic repairs will be shared. Designed for surgeons and surgical trainees, this webinar aims to provide practical, evidence-based guidance for incorporating robotic retromuscular repair into clinical practice.
Summary Listen
- Robotic surgery, initially resisted in India due to cost, is now widely accepted, with training and surgical programs thriving in major cities. This technology empowers surgeons with complete control over robotic instruments, enhancing precision and outcomes across various specialties, including gastrointestinal surgery.
- In abdominal procedures, the surgeon operates from a console, directing a four-armed robot at the patient's side. One arm holds a scope for visualization, while the other three perform the surgery. Trained assistants monitor the procedure via a vision card, ensuring awareness of the internal environment.
- Robotic surgery offers significant advantages. It provides enhanced dexterity, a wider range of motion, tremor filtration, and the ability for surgeons to become ambidextrous. The 270-degree "endo wrist" movement and three-dimensional, ten-times magnified visualization further improve precision. The ergonomic design of the surgeon's console also enhances comfort during long procedures.
- Firefly technology is a key advancement, allowing enhanced visualization of vascular structures through indocyanine green injection, aiding in identification and preservation of critical vessels during procedures like colon resections. This advanced imaging capability improves surgical accuracy and minimizes complications.
- Robotic ventral hernia repair, specifically the TARM (transabdominal retro muscular) technique, minimizes invasiveness. It involves a three-port approach on the patient's side, enabling access to the abdominal cavity. Key steps include dissecting the retrorectus space, carefully protecting neurovascular bundles, and meticulously closing the diastasis recti.
- The robotic approach facilitates precise suturing and mesh placement for hernia repair. The enhanced visualization and instrument dexterity enable surgeons to address complex defects with minimal tissue trauma. Post-operative benefits for patients include reduced pain, faster recovery, and the ability to ambulate soon after surgery.
- Despite the benefits, robotic surgery faces challenges, including high initial costs and limited availability. However, it has proven its potential to provide patients with more accurate surgical interventions, leading to less pain and shorter recovery times.
Sample Certificate
About the Speakers
Dr. Shrikant Kurhade
Managing Director, Laparoscopic, Robotic, & Bariatric Surgeon, K. K. Multispeciality Hospital, Pune
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