{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,26]],"date-time":"2025-07-26T09:22:54Z","timestamp":1753521774258,"version":"3.37.3"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T00:00:00Z","timestamp":1660780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T00:00:00Z","timestamp":1660780800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Perineal hernias can be secondarily acquired following abdominoperineal resection of the rectum. While transabdominal minimally invasive techniques have traditionally used laparoscopy, there are few studies published on the robotic platform, which has been gaining popularity for other types of hernia repairs. We review the existing literature, share a video vignette, and provide practical tips for surgeons interested in adopting this approach.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A literature search in Pubmed was performed to include all articles in English describing robotic repair of perineal hernias with identification of variables of interest related to repair. A case presentation with an accompanying video vignette and lessons learned from the experience are provided.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Seven case reports (four containing video) published between 2019 and 2022 were included. Most articles (<jats:italic>n<\/jats:italic>\u2009=\u20095) utilized the Da Vinci Si or Xi, and most patients (<jats:italic>n<\/jats:italic>\u2009=\u20095) had undergone abdominoperineal resection with neoadjuvant chemotherapy to treat rectal cancer. Patients were positioned in Trendelenburg with rightward tilt (<jats:italic>n<\/jats:italic>\u2009=\u20092), modified lithotomy (<jats:italic>n<\/jats:italic>\u2009=\u20091), or a combination of the two (<jats:italic>n<\/jats:italic>\u2009=\u20091). All articles (<jats:italic>n<\/jats:italic>\u2009=\u20097) reported closing the defect and using mesh. Three articles describe placing five ports (one camera, three robotic, one assistant). There were no significant intraoperative or postoperative complications reported, and no recurrence noted at 3\u201327\u00a0months follow-up. Based on our experience, as shown in the video vignette, we recommend lithotomy positioning, using porous polypropylene mesh anchored to the periosteum of the sacrum and peritoneum overlying the bladder and side wall, and placing a drain above the mesh.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>A robotic transabdominal approach to perineal hernia repair is a viable alternate to laparoscopy based on low complication rates and lack of recurrence. Prospective and longer duration data are needed to compare the techniques.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00464-022-09521-2","type":"journal-article","created":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T21:02:45Z","timestamp":1660856565000},"page":"2290-2294","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Robotic repair of perineal hernias: a video vignette and review of the literature"],"prefix":"10.1007","volume":"37","author":[{"given":"Sarah","family":"Watanaskul","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9217-1840","authenticated-orcid":false,"given":"Marisa E.","family":"Schwab","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexis","family":"Colley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hueylan","family":"Chern","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madhulika G.","family":"Varma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William Y.","family":"Hoffman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ankit","family":"Sarin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,8,18]]},"reference":[{"key":"9521_CR1","first-page":"514","volume":"26","author":"AV Moshcowitz","year":"1916","unstructured":"Moshcowitz AV (1916) Perineal hernia. Surg Gynecol Obstet 26:514\u201320","journal-title":"Surg Gynecol Obstet"},{"issue":"2","key":"9521_CR2","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1007\/s10029-019-01958-0","volume":"24","author":"NP McKenna","year":"2020","unstructured":"McKenna NP, Habermann EB, Larson DW et al (2020) A 25 year experience of perineal hernia repair. Hernia 24(2):273\u2013278","journal-title":"Hernia"},{"issue":"4","key":"9521_CR3","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1111\/codi.12843","volume":"17","author":"AE Sayers","year":"2015","unstructured":"Sayers AE, Patel RK, Hunter IA (2015) Perineal hernia formation following extralevator abdominoperineal excision. Colorectal Dis 17(4):351\u2013355","journal-title":"Colorectal Dis"},{"key":"9521_CR4","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002374","author":"LY Hung","year":"2021","unstructured":"Hung LY, Abbass MA, Sapci I et al (2021) Surgical repair of postoperative perineal hernia: a case for the perineal approach. Dis Colon Rectum. https:\/\/doi.org\/10.1097\/DCR.0000000000002374","journal-title":"Dis Colon Rectum"},{"key":"9521_CR5","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1016\/j.ijscr.2018.12.009","volume":"55","author":"P Rajabaleyan","year":"2019","unstructured":"Rajabaleyan P, Dorfelt A, Poornoroozy P et al (2019) Robot-assisted laparoscopic repair of perineal hernia after abdominoperineal resection: a case report and review of the literature. Int J Surg Case Rep 55:54\u201357","journal-title":"Int J Surg Case Rep"},{"issue":"5","key":"9521_CR6","doi-asserted-by":"publisher","first-page":"479","DOI":"10.1007\/s10151-019-01969-0","volume":"23","author":"J Maurissen","year":"2019","unstructured":"Maurissen J, Schoneveld M, Van Eetvelde E et al (2019) Robotic-assisted repair of perineal hernia after extralevator abdominoperineal resection. Tech Coloproctol 23(5):479\u2013482","journal-title":"Tech Coloproctol"},{"issue":"11","key":"9521_CR7","doi-asserted-by":"publisher","first-page":"1981","DOI":"10.1007\/s00192-019-03956-3","volume":"30","author":"AM Avondstondt","year":"2019","unstructured":"Avondstondt AM, Ezzedine D, Salamon C (2019) Perineal hernia repair using permanent suture and mesh: a video case presentation. Int Urogynecol J 30(11):1981\u20131983","journal-title":"Int Urogynecol J"},{"issue":"4","key":"9521_CR8","doi-asserted-by":"publisher","first-page":"775","DOI":"10.1007\/s00384-020-03506-0","volume":"35","author":"D Li","year":"2020","unstructured":"Li D, Zhang S, Zhang Z et al (2020) A new method of robot-assisted laparoscopic repair of perineal hernia after abdominoperineal resection: a case report. Int J Colorectal Dis 35(4):775\u2013778","journal-title":"Int J Colorectal Dis"},{"issue":"8","key":"9521_CR9","doi-asserted-by":"publisher","first-page":"972","DOI":"10.1111\/codi.15028","volume":"22","author":"MG Pramateftakis","year":"2020","unstructured":"Pramateftakis MG, Kotidis E, Gkantsinikoudis N et al (2020) Robotic-assisted repair of perineal hernia after laparoscopic abdominoperineal excision using a bioresorbable mesh\u2014a video vignette. Colorectal Dis 22(8):972\u2013973","journal-title":"Colorectal Dis"},{"issue":"8","key":"9521_CR10","doi-asserted-by":"publisher","first-page":"rjab378","DOI":"10.1093\/jscr\/rjab378","volume":"2021","author":"R Glanzer","year":"2021","unstructured":"Glanzer R, O\u2019Neil B, Turaihi H (2021) Pararectal hernia: literature review and surgical repair techniques in the era of robotic surgery. J Surg Case Rep 2021(8):rjab378","journal-title":"J Surg Case Rep"},{"key":"9521_CR11","doi-asserted-by":"publisher","DOI":"10.1111\/codi.16062","author":"A Genovese","year":"2022","unstructured":"Genovese A, Giuliani G, Formisano G et al (2022) Robotic perineal hernia repair with lateral mesh suspension\u2014a video vignette. Colorectal Dis. https:\/\/doi.org\/10.1111\/codi.16062","journal-title":"Colorectal Dis"},{"issue":"1","key":"9521_CR12","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1016\/j.amjsurg.2021.07.012","volume":"223","author":"CR Soriano","year":"2022","unstructured":"Soriano CR, Cheng RR, Corman JM et al (2022) Feasibility of injected indocyanine green for ureteral identification during robotic left-sided colorectal resections. Am J Surg 223(1):14\u201320","journal-title":"Am J Surg"},{"issue":"5","key":"9521_CR13","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1007\/s10151-017-1634-8","volume":"21","author":"A Balla","year":"2017","unstructured":"Balla A, Batista Rodriguez G, Buonomo N et al (2017) Perineal hernia repair after abdominoperineal excision or extralevator abdominoperineal excision: a systematic review of the literature. Tech Coloproctol 21(5):329\u2013336","journal-title":"Tech Coloproctol"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-022-09521-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-022-09521-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-022-09521-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,15]],"date-time":"2023-03-15T18:03:45Z","timestamp":1678903425000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-022-09521-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,18]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["9521"],"URL":"https:\/\/doi.org\/10.1007\/s00464-022-09521-2","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"type":"print","value":"0930-2794"},{"type":"electronic","value":"1432-2218"}],"subject":[],"published":{"date-parts":[[2022,8,18]]},"assertion":[{"value":"19 March 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 July 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 August 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Marisa Schwab\u2019 spouse is an employee of Intuitive Surgical. Ankit Sarin has worked as a consultant to evaluate novel robotic platforms for several companies, including Noah Medical, Neptune Medical, and Ethicon. Sarah Watanaskul, Alexis Colley, Hueylen Chern, Madhulika Varma, William Hoffman has no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}