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Aim: A sigmoidectomy is the most definitive surgical treatment for recurrent diverticulitis. While it is usually accomplished via transabdominal specimen extraction and stapled anastomosis, the robotic platform can facilitate novel approaches and techniques. This is the first report of the initial experience using robotic sigmoidectomy with natural orifice specimen extraction and hand‐sewn anastomosis (NOSHA). Method: A prospectively maintained database of NOSHA procedures performed between 2018 and 2020 was retrospectively examined. The technique was described and variables across preoperative, intra‐operative and postoperative timeframes were presented. The Clavien‐Dindo classification system was used to describe postoperative complications. Results: Sixteen patients with recurrent diverticulitis treated with NOSHA were included in this study. Transanal specimen extraction and an intracorporeal hand‐sewn anastomosis were achieved in all patients. However, two (12.8%) patients required specimen debulking prior to extraction. The mean operating time was 171.7 min, and patients had a return of bowel function within an average period of 35.2 h. The mean hospital length of stay was 2.9 days. In total, two (12.8%) complications were seen: one postoperative ileus managed conservatively and one readmission for abdominal pain which resolved without intervention. No anastomotic leaks or reoperations were observed. Conclusion: Robotic NOSHA appears to be a viable technique for the surgical management of diverticulitis. Further studies are needed to establish its utility for various diseases and its reproducibility across clinical practices. [ABSTRACT FROM AUTHOR]

Imaging studies suggested that the RFB had been present for a few days causing an obstruction; there were no signs of bowel perforation. Rectal foreign body (RFB) insertion is a rare referral to the surgeon on call. Nonsurgical removal of the RFB in the ED, with the patient under conscious sedation, failed. [Extracted from the article]

Perforated diverticulitis remains a challenging emergency, with its management widely debated. Although a laparoscopic approach reduces the risk of both procedures, studies showed that sigmoidectomy with primary anastomosis in perforated diverticulitis is preferable to a Hartmann's [3,4]. Robotic natural orifice intracorporeal anastomosis and extraction sigmoidectomy for Hinchey Class IV diverticulitis - A video vignette. [Extracted from the article]

2021; 35 (6): 3205 - 13. https://doi.org/10.1007/s00464-021-08350-z 3 Kudsi OY, Gokcal F, Bou-Ayash N, Chudner A. Robotic sigmoidectomy for diverticulitis - natural orifice extraction with stapleless hand-sewn intracorporeal anastomosis. The COVID pandemic affected hospital bed occupancy and surgeons are optimizing treatments to allow same-day discharge for elective cases such as sigmoidectomy for uncomplicated diverticulitis. Refractory recurrent uncomplicated diverticulitis is managed surgically [1]. [Extracted from the article]

Association of Timing of colostomy reversal with outcomes following Hartmann procedure for diverticulitis. Staged robotic colostomy reversal and Botox followed by hybrid TAR - A video vignette Parastomal hernia is an independent risk factor for incisional hernia in patients with end colostomy. [Extracted from the article]