Robot Assisted Hiatal Hernia Repair
The Robot Assisted Hiatal Hernia Repair course will teach you:
- How to repair a hernia defect that may occur in the diaphragm. The hiatal hernia repair is indicated in symptomatic hiatal hernias, that do not respond to conservative treatment i.e. medicine.
Special attention is paid to the following hazards you may encounter during the Robot Assisted Hiatal Hernia Repair:
- Neurovascular structures injury
- Vagus nerve injury
With the following tips you might perform the Robot Assisted Hiatal Hernia Repair even better:
- Retraction of the esophagus using a penrose drain
- Creating of enough esophageal length
- Suture or mesh reinforcement of diaphragmatic hiatus closure
- Prevention of esophageal narrowing during hiatus closure using a bougie
- Mobilization of the fundus by transecting the gastrosplenic ligament and the short gastric vessels
After studying the Robot Assisted Hiatal Hernia Repair course you are familiar with the most common complications:
- Injury to vagus nerve
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Step by step
Abdominal cavity approach
1st Port, used for the 30º scope, supraumbilical. Place robotic trocars lateral of the rectus sheath at both sides, and subcostal at the right anterolateral side of the abdomen. Place assistant trocar (12mm) left in between the camera and the robotic trocars. For technique of trocar placement, see the specific course.
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