RESUMO
BACKGROUND: The aim of this study is to assess an innovative prosthesis Tintrap Mesh and its inserter in the repair of hernias and incisional ventral hernias. The inserter helps the deployment of the mesh the same way an umbrella would open, which prevents the enlargement of the wound. METHOD: Four centres took part in this study. A questionnaire was completed preoperatively, postoperatively and after 1 month of surgery. Data on pain and complications, patients' satisfaction, as well as the ease of installation and the quality of deployment of the mesh was gathered and assessed. RESULTS: From January 2009 to December 2009, 80 patients were assessed. The prosthesis, ease of installation and the deployment quality were rated "very good" and "good". The average operating room time was 20.86 min (range: 10-50 min). Postoperative pain was rated level 0 and 3 on VAS score in 73 cases (91.25%). After 1 month, no occlusion or relapse were reported on 77 patients; 82.47% of patients had no pain. One seroma required the removal of the mesh. CONCLUSION: The first set of results on 80 cases is encouraging judging by the simplicity of implantation, low postoperative pain and patient's satisfaction.
Assuntos
Hérnia Ventral/cirurgia , Herniorrafia/métodos , Telas Cirúrgicas , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Viabilidade , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Desenho de Prótese , Resultado do Tratamento , Adulto JovemRESUMO
STUDY AIM: The goal of this study was to report the early results of unilateral transperitoneal adrenalectomy using robotic Da Vinci system, and to compare them to the results of the laparoscopic standard adrenalectomy. METHODS: Prospective study included all patients operated on for unilateral laparoscopic or robotic adrenalectomy from November 2000 to November 2002. RESULTS: Twenty-eight patients underwent unilateral adrenalectomy using either standard laparoscopy (14 patients) or robotic Da Vinci system (14 patients). Mean duration of robotic adrenalectomy seemed to be longer than standard laparoscopy (111 vs. 83 min; P = 0.057). This tendency decreased while surgeons' experience was increasing. Mean duration of operating room activity was similar for both types of surgery. Peroperative events without conversion, conversion rate (7%), drainage, morbidity (21%), duration of hospitalisation were similar for both types of surgery. Duration of standard laparoscopic adrenalectomy was positively correlated to patients body mass index. This correlation was absent in patients operated on by robotic Da Vinci system. CONCLUSION: This preliminary study found no objective data demonstrating that robotic Da Vinci system was superior to standard laparoscopic approach for unilateral adrenalectomy. However, we think that it is necessary to continue further evaluation of this system to demonstrate its possible superiority.
