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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Differences and similarities of robotic and laparoscopic groin hernia surgery

Differences and similarities of robotic and laparoscopic groin hernia surgery
  Laparoscopic TEP Laparoscopic TAPP Robotic TAPP
Abdominal entry Open 12 mm incision to access retrorectus space with balloon dissector Optical trocar, Veress, or open 12 mm port (Hassan) Optical trocar, Veress, or open 12 mm port (Hassan)
Number of ports 3 3 3
Port size

2 × 5 mm ports AND

1 × 12 mm port (Balloon port)

3 × 5 mm ports OR

2 × 5 mm ports AND

1 × 11/12 mm port
3 x 8 to 12 mm ports
Port placement

Preperitoneal/pretransversalis fascia (no violation of posterior sheath)

Down the lower midline
Intraperitoneal, across the mid abdomen Intraperitoneal, across the upper abdomen
Laparoscope 12 mm, 30 degree 5 mm, 30 degree 8 or 12 mm, 30 degree
Energy device None or electrocautery Electrocautery Electrocautery
Mesh fixation None, glue, tacks, or self-fixating mesh None, glue, tacks, or self-fixating mesh None, self-fixating mesh, or suture
Peritoneal closure None needed Suture Suture
Port closure (and risk of port-site hernia) Anterior fascia of the 12 mm port site (low risk for hernia because posterior fascia not violated)

12 mm port site

Literature reports 5 to 10% port-site hernia rate at 2 years postoperative[1]

12 mm site

Literature reports 5 to 10% port-site hernia rate at 2 years postoperative[1]
TEP: totally extraperitoneal repair; TAPP: transabdominal preperitoneal repair.
References:
  1. ​Holihan JL, Chen JS, Greenberg J, et al. Incidence of port-site hernias: A survey and literature review. Surg Laparosc Endosc Percutan Tech 2016; 26:425.
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