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Robotic assisted eTEP ventral hernia repair: Brazilian early experience
A L G Morrell1,2,3,4, A C Morrell5,6,7, L T Cavazzola8
1Minimally Invasive and Robotic Digestive System Surgery, Instituto Morrell, São Paulo, SP, Brazil. andremorrell@gmail.com.
Summary
The first Brazilian case series of robotic-assisted enhanced view totally extraperitoneal (eTEP) ventral hernia repair shows feasibility and safety. This approach offers acceptable early postoperative outcomes for both primary and incisional hernias.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Robotic Surgery
Background:
- The enhanced view totally extraperitoneal (eTEP) technique, initially for inguinal hernias, is now a valuable method for ventral hernia repair.
- Robotic assistance enhances surgical precision and visualization in complex abdominal procedures.
Purpose of the Study:
- To document the initial series of robotic-assisted eTEP ventral hernia repairs performed in Brazil.
- To evaluate the feasibility, safety, and early outcomes of this technique in a Brazilian cohort.
Main Methods:
- A retrospective review of a prospectively maintained database of patients undergoing robotic-assisted eTEP for ventral hernia repair from June 2018 to January 2020.
- Data collected included patient demographics, hernia characteristics, operative details, and postoperative outcomes.
Main Results:
- The study included 74 patients: 31 with primary ventral hernias (PVHs) and 43 with incisional hernias (IHs).
- No intraoperative complications or conversions occurred. Average length of stay was 1.5 days, with no hernia recurrence during a mean follow-up of 230.7 days.
- Early postoperative outcomes were favorable, with low readmission rates and no cases of reoperation or intraparietal herniation.
Conclusions:
- This report details the first Brazilian case series of robotic-assisted eTEP for ventral hernia repair.
- The findings suggest that the robotic eTEP approach is feasible and reproducible for experienced surgeons, demonstrating safe and acceptable early postoperative results.
