Robotische Hernienchirurgie Teil IV: Roboterassistierte endoskopische parastomale Hernienversorgung. Videobericht und Ergebnisse

Translated title of the contribution: Robotic hernia surgery IV. German version: Robotic parastomal hernia repair. Video report and preliminary results

Maxime Dewulf, Ulrich A Dietz, Agneta Montgomery, Eric M Pauli, Matthew N Marturano, Sullivan A Ayuso, Vedra A Augenstein, Jan R Lambrecht, Gernot Köhler, Nicola Keller, Armin Wiegering*, Filip Muysoms*

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review


The surgical treatment of parastomal hernias is considered complex and is known to be prone to complications. Traditionally, this condition was treated using relocation techniques or local suture repairs. Since then, several mesh-based techniques have been proposed and are nowadays used in minimally invasive surgery. Since the introduction of robot-assisted surgery to the field of abdominal wall surgery, several adaptations to these techniques have been made, which may significantly improve patient outcomes. In this contribution, we provide an overview of available techniques in robot-assisted parastomal hernia repair. Technical considerations and preliminary results of robot-assisted modified Sugarbaker repair, robot-assisted Pauli technique, and minimally invasive use of a funnel-shaped mesh in the treatment of parastomal hernias are presented. Furthermore, challenges in robot-assisted ileal conduit parastomal hernia repair are discussed. These techniques are illustrated by photographic and video material. Besides providing a comprehensive overview of robot-assisted parastomal hernia repair, this article focuses on the specific advantages of robot-assisted techniques in the treatment of this condition.

Translated title of the contributionRobotic hernia surgery IV. German version: Robotic parastomal hernia repair. Video report and preliminary results
Original languageGerman
Pages (from-to)1051-1062
Number of pages12
JournalDie Chirurgie
Issue number11
Early online date10 Oct 2022
Publication statusPublished - Nov 2022

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