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Updated: Nov 8, 2025

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Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection
Published on: February 7, 2025
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[Current robotic ventral hernia surgery exemplified by 50 consecutive patients].
K Bauer1, F Heinzelmann1, P Büchler1
1Abteilung für Allgemein‑, Viszeral‑, Thorax- und Kinderchirurgie, Klinikum Kempten, Klinikverbund Allgäu, Robert-Weixler-Str. 50, 87439, Kempten, Deutschland.
Summary
Robotic ventral hernia repair is safe and effective, enabling minimally invasive treatment for complex cases. This study shows high success rates with extraperitoneal mesh placement in 98% of procedures.
Area of Science:
- Minimally Invasive Surgery
- Surgical Robotics
- Abdominal Wall Reconstruction
Background:
- Robotic surgery is increasingly utilized for hernia repair, particularly with extraperitoneal mesh placement.
- Advancements in robotic techniques offer new approaches to ventral hernia repair.
Purpose of the Study:
- To evaluate the safety and efficacy of robotic ventral hernia repair.
- To assess the outcomes of extraperitoneal mesh placement in a series of patients.
Main Methods:
- Retrospective analysis of 50 patients undergoing robotic ventral hernia repair (May 2019 - Nov 2020).
- Procedures included extraperitoneal mesh implantation (retromuscular or preperitoneal) and transperitoneal approaches.
- Various robotic techniques such as robotic enhanced view total extraperitoneal plasty (r-eTEP) and robotic ventral TAPP (r-vTAPP) were employed.
Main Results:
- Complete hernia closure was achieved in all cases.
- Extraperitoneal mesh placement was successful in 98% of ventral procedures.
- The complication rate was 12%, with a reintervention rate of 4%.
Conclusions:
- Robotic surgery provides a safe and effective method for treating ventral hernias, including complex cases.
- Minimally invasive techniques with extraperitoneal mesh placement are feasible and successful.

