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[Robot-assisted extraperitoneal ventral hernia repair-Experience from the first 61 consecutive operations with eTEP
K Bauer1, F Heinzelmann1, P Büchler1
1Abteilung für Allgemein-, Viszeral- und Kinderchirurgie, Klinikum Kempten, Klinikverbund Allgäu, Robert-Weixler-Str. 50, 87439, Kempten, Deutschland.
Chirurgie (Heidelberg, Germany)
|October 24, 2022
Summary
Robotic extraperitoneal repair (eTEP) is a safe and effective minimally invasive technique for ventral hernias. This approach allows for retromuscular mesh placement, even in complex cases, with low complication rates.
Area of Science:
- Minimally Invasive Surgery
- Surgical Robotics
- Abdominal Wall Reconstruction
Context:
- Robotically assisted surgery is increasingly used for ventral hernia repair.
- The extraperitoneal approach (eTEP) allows for minimally invasive retromuscular mesh placement.
- This technique combines robotic assistance with the benefits of an extraperitoneal approach.
Purpose:
- To evaluate the safety and efficiency of robotic total extraperitoneal (eTEP) management of abdominal wall hernias.
- To demonstrate the feasibility of retromuscular mesh placement using a robotic extraperitoneal approach.
Summary:
- A retrospective analysis of 61 robotic eTEP ventral hernia repairs was conducted from September 2019 to May 2022.
- In 14 patients, extraperitoneal transversus abdominis release (eTAR) was combined with eTEP for complex hernias.
- All patients received uncoated synthetic mesh in the retromuscular position, with complete defect closure. One intraoperative and three postoperative complications occurred, with no conversions or reoperations required.
Impact:
- Robotic eTEP facilitates minimally invasive retromuscular mesh placement for ventral hernias.
- The technique is suitable for complex cases, including those requiring transversus abdominis release.
- This approach offers a safe and efficient alternative for ventral hernia repair.
