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Use of a Rat Model to Study Ventral Abdominal Hernia Repair
Published on: October 2, 2017
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Robot-Assisted Transabdominal Preperitoneal Ventral Hernia Repair
Gainosuke Sugiyama1, Sitaram Chivukula2, Paul J Chung1
1Department of Surgery, State University of New York, Downstate Medical Center, Brooklyn, Brooklyn, New York, USA.
Summary
Robot-assisted laparoscopic ventral hernia repair using the transabdominal preperitoneal (TAPP) approach is feasible. This technique may reduce mesh complications by utilizing the peritoneum as a natural barrier, with early results showing no complications.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Abdominal Wall Reconstruction
Background:
- Ventral hernia repair complications can arise from mesh placement.
- Utilizing the peritoneum as a natural barrier may reduce mesh-related issues.
- Laparoscopic placement of mesh in the preperitoneal space can be technically challenging.
Purpose of the Study:
- To describe the surgical technique for robot-assisted laparoscopic transabdominal preperitoneal (TAPP) ventral hernia repair with mesh.
- To evaluate the feasibility of this robotic approach.
- To present preliminary perioperative outcomes and assess its potential for reducing mesh complications.
Main Methods:
- Robot-assisted laparoscopic TAPP ventral hernia repair was performed in 3 patients.
- Demographic data and hernia defect size were recorded.
- The primary outcome measure was conversion to an open procedure.
Main Results:
- Three robot-assisted TAPP ventral hernia repairs were completed.
- Mean patient age was 49 years, BMI 32.6 kg/m(2), and operative time 163.7 minutes.
- Mean defect size was 1219.0 mm(2), with no conversions to open surgery and no complications at 3-month follow-up.
Conclusions:
- Robot-assisted TAPP ventral hernia repair is feasible in early experience.
- Robotic platform offers improved ergonomics and instrumentation for peritoneal flap creation and mesh coverage.
- This approach may enhance mesh integration and protection, potentially reducing intra-abdominal complications; further long-term studies are warranted.
