Publications by authors named "Y Novitsky"

147 Publications

Does PROVE-IT Really Prove Anything of Value?

JAMA Surg 2021 Apr 28. Epub 2021 Apr 28.

CQInsights, Knoxville, Tennessee.

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http://dx.doi.org/10.1001/jamasurg.2021.0956DOI Listing
April 2021

Critical view of robotic-assisted transverse abdominal release (r-TAR).

Hernia 2021 Apr 2. Epub 2021 Apr 2.

Creighton University School of Medicine-Phoenix, Phoenix, USA.

Introduction: Establishing straightforward and reproducible steps to describe the technique performed with the aid of the robotic system for complex hernia surgery is key for good outcomes. Even using the description of open surgery as a parameter for performing the robotic technique, it is important to stress the particularities of this access. To describe the steps to perform robotic-assisted TAR (r-TAR) in a standardized technique, with a critical and safe view of all the anatomical structures.

Description Of The Technique: We defined 8 landmarks for the critical view of safety in r-TAR which include: (1) patient position, trocar and docking; (2) posterior rectus sheath mobilization; (3) transversus abdominis release (TAR)-Top-down technique; (4) transversus abdominis release (TAR)-bottom-up technique and mesh insertion; (5) contralateral trocar insertion and redocking, 6) posterior sheath closure; (7) final mesh positioning; and (8) anterior defect closure and drains.

Discussion: Complex hernia surgery using a robotic-assisted posterior component separation requires well-established steps so the procedure can be reproducible and achieve better results.
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http://dx.doi.org/10.1007/s10029-021-02391-yDOI Listing
April 2021

Simulation in Hernia Surgery: Where Do We Stand?

J Laparoendosc Adv Surg Tech A 2021 May 10;31(5):551-555. Epub 2021 Mar 10.

Comprehensive Hernia Center, Columbia University Medical Center, New York, New York, USA.

Simulation seems to be the best method of improving medical attitude, technical skills, and operating times. A literature review of the available data in simulation for hernia surgery was performed. Surgical simulation has been included as a main requirement in residency programs and endorsed by several surgical societies. However, evaluating how simulation affects patient's outcomes is challenging. In addition, simulation training represents an institutional economic burden that could undermine its implementation and development. Published data support that simulation-based training is a highly efficient tool, thus, its implementation should be strongly encouraged.
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http://dx.doi.org/10.1089/lap.2021.0081DOI Listing
May 2021

Robotic-Assisted Transabdominal Preperitoneal Ventral Hernia Repair.

Surg Technol Int 2020 May;36:95-97

Comprehensive Hernia Center, Columbia University Medical Center, New York, NY.

Ventral hernia repair is one of the most common operations performed by surgeons worldwide. The widespread adoption of laparoscopic surgery has significantly reduced complications related to traditional open approaches. The most common approach in laparoscopic ventral hernia repair is the intraperitoneal onlay mesh (IPOM) approach. This technique, though simple to perform, has limitations, including bridging mesh, intraperitoneal positioning of mesh, transfascial fixation, circumferential mesh fixation, and the use of more expensive composite mesh materials. These limitations are magnified when hernias occur in anatomically difficult sites such as the subxiphoid, suprapubic, and flank regions. Robotic-assisted hernia repair using a transabdominal preperitoneal (TAPP) approach has emerged as a viable alternative to traditional IPOM by potentially addressing these limitations. We review the operative considerations, intraoperative approach, and current body of literature related to robotic-assisted TAPP ventral hernia repair and conclude that it is feasible and may result in improved outcomes related to the restoration of abdominal wall anatomy and reduced operative costs. Further studies are needed to assess if robotic-assisted TAPP should become the standard approach for repair of ventral hernia defects.
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May 2020

Robotic Inguinal Hernia Repair.

Surg Clin North Am 2020 Apr 1;100(2):409-415. Epub 2020 Feb 1.

Columbia University Medical Center, Comprehensive Hernia Center, Department of Surgery, 161 Fort Washington Avenue, New York, NY 10032, USA. Electronic address:

Robotic inguinal hernia repair represents the natural progression of minimally invasive inguinal hernia surgery. This article highlights all aspects of a robotic transabdominal preperitoneal (rTAPP) inguinal hernia repair with mesh, starting with preoperative planning and patient selection, key technical steps, and common postoperative complications and recovery. The most recent published data on robotic inguinal hernia repair are comprehensively reviewed, confirming that rTAPP is a safe and effective option for the repair of unilateral and bilateral inguinal hernias.
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http://dx.doi.org/10.1016/j.suc.2019.12.010DOI Listing
April 2020