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Use of a Rat Model to Study Ventral Abdominal Hernia Repair
Published on: October 2, 2017
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Robotic ventral hernia repair: a safe and durable approach
M E Sharbaugh1,2, P B Patel3, J A Zaman3
1Department of General Surgery, Albany Medical Center, Albany, NY, USA. matthew.sharbaugh@gmail.com.
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|November 29, 2019
Summary
Robotic-assisted ventral hernia repair (RVHR) shows durable, low recurrence rates up to 21 months. Patient factors and repair type did not predict outcomes in this study.
Area of Science:
- Minimally Invasive Surgery
- Abdominal Wall Reconstruction
- Surgical Outcomes Research
Background:
- Short-term outcomes of robotic-assisted ventral hernia repair (RVHR) are established.
- Long-term durability data beyond one year are limited.
- This study evaluates durability and recurrence risk factors for RVHR.
Purpose of the Study:
- To assess the long-term durability of RVHR.
- To identify patient-specific risk factors for hernia recurrence after RVHR.
- To analyze outcomes at an average follow-up of 1.8 years.
Main Methods:
- Retrospective analysis of 108 RVHRs performed between 2012 and 2016.
- Primary fascial closure with preperitoneal mesh placement when feasible.
- Recurrence determined by physical exam or imaging; logistic regression for risk factors.
Main Results:
- 12% recurrence rate at a mean follow-up of 625.6 days (approx. 21 months).
- No significant differences in recurrence based on gender, age, BMI, diabetes, smoking, or prior repairs.
- Hernia defect size and perioperative complications did not predict recurrence.
Conclusions:
- RVHR demonstrates safety and durability with a low recurrence rate.
- Patient characteristics and repair techniques were not predictive of recurrence.
- RVHR is a reliable option for ventral hernia repair with sustained outcomes.
