PMID- 36036807
OWN - NLM
STAT- MEDLINE
DCOM- 20221019
LR  - 20221019
IS  - 1557-9034 (Electronic)
IS  - 1092-6429 (Linking)
VI  - 32
IP  - 10
DP  - 2022 Oct
TI  - Robotic Intracorporeal Rectus Aponeuroplasty: Early Experience of a New Surgical 
      Technique for Ventral Hernia Repair.
PG  - 1092-1096
LID - 10.1089/lap.2022.0303 [doi]
AB  - Introduction: The laparoscopic intracorporeal rectus aponeuroplasty (LIRA) was 
      developed as an alternative for minimally invasive ventral hernia repair. This 
      technique allows the closure of the defect and restoration of the midline without 
      tension by plication of both aponeurosis of the abdominal rectus muscles combined 
      with a minimally invasive intraperitoneal underlay mesh repair. The objective of 
      this study is to report our early experience with the Robotic-LIRA (R-LIRA) 
      technique and its safety and short-term efficacy. Methods: We performed a 
      retrospective analysis of patients undergoing R-LIRA repair for ventral hernias 
      from March 2019 to April 2022. Results: Eight patients underwent R-LIRA from 
      March 2019 to April 2022. Median age was 47 years (interquartile range [IQR] 
      34.5-62.8). Median body mass index was 34.2 kg/m(2) (IQR 29.9-35.2). Four 
      patients (50%) had a primary ventral hernia being one M2, two M3, and one M2/M3. 
      There were three incisional hernias, being one recurrent, 6 patients (75%) had 
      associated diastasis of the rectus muscle and 1 patient presented pure diastasis. 
      The median hernia width was 4 cm (IQR 2-6), and the median defect area was 
      16 cm(2) (IQR 4-42). The median mesh area was 290 cm(2) (IQR 211.2-300). In all 
      cases, a barbed suture was also used for mesh fixation, and tackers were added in 
      4 cases. The median operative time was 172 minutes (IQR 139.8-293.3). The median 
      length of stay was 0.5 days (IQR 0-1.8), and the median follow-up was 20 days 
      (IQR 16-46). Conclusion: The R-LIRA has been shown to be safe and feasible for 
      ventral and incisional hernia repairs with or without Diastasis of the Rectus 
      Abdominis Muscle in the short term.
FAU - Lima, Diego L
AU  - Lima DL
AUID- ORCID: 0000-0001-7383-1284
AD  - Department of Surgery, Montefiore Medical Center, Bronx, New York, USA.
FAU - Salas-Parra, Ruben
AU  - Salas-Parra R
AD  - Department of Surgery, Bronxcare Healthcare System, Bronx, New York, USA.
FAU - Lima, Raquel Nogueira C L
AU  - Lima RNCL
AD  - Department of Surgery, NYU Langone, New York, New York, USA.
FAU - Sreeramoju, Prashanth
AU  - Sreeramoju P
AD  - Department of Surgery, Montefiore Medical Center, Bronx, New York, USA.
FAU - Camacho, Diego
AU  - Camacho D
AD  - Department of Surgery, Montefiore Medical Center, Bronx, New York, USA.
FAU - Malcher, Flavio
AU  - Malcher F
AD  - Department of Surgery, NYU Langone, New York, New York, USA.
LA  - eng
PT  - Journal Article
DEP - 20220825
PL  - United States
TA  - J Laparoendosc Adv Surg Tech A
JT  - Journal of laparoendoscopic & advanced surgical techniques. Part A
JID - 9706293
SB  - IM
MH  - *Hernia, Ventral/complications/surgery
MH  - Herniorrhaphy/methods
MH  - Humans
MH  - *Incisional Hernia/surgery
MH  - *Laparoscopy/methods
MH  - Middle Aged
MH  - Retrospective Studies
MH  - *Robotic Surgical Procedures
MH  - Surgical Mesh
OTO - NOTNLM
OT  - LIRA
OT  - incisional hernia
OT  - minimally invasive surgery
OT  - robotic surgery
OT  - ventral hernia
EDAT- 2022/08/30 06:00
MHDA- 2022/10/20 06:00
CRDT- 2022/08/29 11:12
PHST- 2022/08/30 06:00 [pubmed]
PHST- 2022/10/20 06:00 [medline]
PHST- 2022/08/29 11:12 [entrez]
AID - 10.1089/lap.2022.0303 [doi]
PST - ppublish
SO  - J Laparoendosc Adv Surg Tech A. 2022 Oct;32(10):1092-1096. doi: 
      10.1089/lap.2022.0303. Epub 2022 Aug 25.