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using the "Archimedes technique" during robotic repair for that incarcerated hernia that won't reduce - irrigation directly into the hernia defect

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Matthew Martin, MD, FACS, McRIB

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62,713 görüntüleme • 2 yıl önce •via X (Twitter)

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Robotic TAPP (rTAPP) Repair of Left Inguinal Hernia with Imbrication of Transversalis Fascia Why imbricate: 🔵Direct defect/large hernia risk factors for postoperative seroma 🔵In open hernia repair, direct defect often closed ➡️Helps create a flat posterior wall and expedite mesh placement 🔵However it is not a routine practice during MIS Robotic Imbrication of Transversalis fascia: 🔴Possible advantages include: ➡️Reduce seroma risk formation ➡️Reduce risk of recurrence (mesh migration) 🔴Avoid deep bite ➡️Cord structures can be easily caught in sutures
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Robotic TAPP (rTAPP) Repair of Left Inguinal Hernia with Imbrication of Transversalis Fascia Why imbricate: 🔵Direct defect/large hernia risk factors for postoperative seroma 🔵In open hernia repair, direct defect often closed ➡️Helps create a flat posterior wall and expedite mesh placement 🔵However it is not a routine practice during MIS Robotic Imbrication of Transversalis fascia: 🔴Possible advantages include: ➡️Reduce seroma risk formation ➡️Reduce risk of recurrence (mesh migration) 🔴Avoid deep bite ➡️Cord structures can be easily caught in sutures

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"Archimedes Technique" for reduction of incarcerated incisional hernia... (learned from / named by Paul Colavita) Paul Colavita Dr. Shirin Towfigh herniabarbie Eric Knauer Ryan M Juza Ron Barbosa MD FACS
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"Archimedes Technique" for reduction of incarcerated incisional hernia... (learned from / named by Paul Colavita) Paul Colavita Dr. Shirin Towfigh herniabarbie Eric Knauer Ryan M Juza Ron Barbosa MD FACS

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I recently went through an inguinal hernia repair and learned that proper planning makes a big difference. If you're facing the same, watch my interview with Dr. Eric Pinnar, the surgeon who performed my procedure, for insights on treatment and recovery:
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I recently went through an inguinal hernia repair and learned that proper planning makes a big difference. If you're facing the same, watch my interview with Dr. Eric Pinnar, the surgeon who performed my procedure, for insights on treatment and recovery:

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Repair Tricks That The Handyman Won't Tell You! 👇
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Robotic surgery is now so advanced that is possible to remove the shell from an uncooked egg and suture a defect. This can be done remotely via a keyhole approach using WiFi.
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A quick pipe repair that you can handle yourself if you master the technique.
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more example using the technique that i discovered
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more example using the technique that i discovered

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After calling out the Rivers State Commissioner of Police, CP Adepoju, the CP is now taking the necessary steps. The Commissioner has also confirmed that he will take care of the medical bills of the officer with hernia. Kudos to him. 💪
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spicebae Oh Chrisean ! You really try sliding the chair closer to make it seem like JR standing up 🤦They are basically helping her exploit her disable child . . I mean look at the size of that hernia that she keeps touching tryna hide it 🤡
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spicebae Oh Chrisean ! You really try sliding the chair closer to make it seem like JR standing up 🤦They are basically helping her exploit her disable child . . I mean look at the size of that hernia that she keeps touching tryna hide it 🤡

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Praying that twitter won't reduce the video quality this time. Tw: eye strain and flashing lights #dottore #Zandik
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**A MUST WATCH‼️** So are we gonna keep ignoring that Junior is in need of his second hernia surgery ‼️🤨 We can't deny how huge his pampers have been since his first hernia surgery. Look at how his pamper is protruding in the gray picture. That was taken last month‼️‼️ Shawty priorities are all fxxxed up‼️ Go and get your kid some medical attention, which explains why yall always carry him on hold him a certain way. 🤦🏽‍♂️🫠🤨 #chrisean #chriseanrock #jaidyn #blueface #wack100 #karlissa
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**A MUST WATCH‼️** So are we gonna keep ignoring that Junior is in need of his second hernia surgery ‼️🤨 We can't deny how huge his pampers have been since his first hernia surgery. Look at how his pamper is protruding in the gray picture. That was taken last month‼️‼️ Shawty priorities are all fxxxed up‼️ Go and get your kid some medical attention, which explains why yall always carry him on hold him a certain way. 🤦🏽‍♂️🫠🤨 #chrisean #chriseanrock #jaidyn #blueface #wack100 #karlissa

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