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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

Matthew Martin, MD, FACS, McRIB

14,578 subscribers

62,713 次观看 • 2 年前 •via X (Twitter)

Anya Rossi• Live Now

Private livecam show

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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

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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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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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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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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𝗥𝗼𝗯𝗼𝘁𝗶𝗰 𝗧𝗔𝗥𝗨𝗣 𝘃𝘀. 𝗟𝗮𝗽𝗮𝗿𝗼𝘀𝗰𝗼𝗽𝗶𝗰 𝗜𝗣𝗢𝗠 𝗥𝗲𝗽𝗮𝗶𝗿 𝗼𝗳 𝗩𝗲𝗻𝘁𝗿𝗮𝗹 𝗛𝗲𝗿𝗻𝗶𝗮 Defect closure: 🔵Standard of care in both approaches 🔵Robot facilitates closure of larger defect up to a maximum size of 5cm for TARUP repair Comparison: 🔴Retromuscular (rTARUP) vs. Intraperitoneal (IPOM) mesh placement 🔴No tacks (rTARUP) vs. Use of tacks (IPOM) 🔴Minimal risk of bowel adhesions (rTARUP) vs. Possibility of bowel adhesions (IPOM) 🔴Extensive dissection (rTARUP) vs. Minimal dissection (IPOM) 🔴LOS and analgesic requirements less for rTARUP Less pain in rTARUP due to: 🟢Better and precise haemostasis in dissection plane facilitated by robotic platform 🟢No use of tacks 🟢Robotic port remote centre technology with less muscle trauma at port sites #FOAMed #SoMe4Surgery #hernia #surgery #robotics

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