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[Roboticassisted incisional hernia surgery-Retromuscular techniques]
R Vogel1, F Heinzelmann1, P Büchler1
1Klinik für Allgemein‑, Viszeral‑ und Kinderchirurgie, Hernienzentrum Kempten - Allgäu, Klinikverbund Allgäu gGmbH, Klinikum Kempten, Robert-Weixler-Straße 50, 87439, Kempten (Allgäu), Deutschland.
Chirurgie (Heidelberg, Germany)
|December 5, 2023
Summary
Robotic-assisted surgery offers advantages for incisional hernia repair, enhancing perioperative outcomes. New robotic technologies also enable complex repairs and future surgical innovations.
Area of Science:
- Minimally invasive surgical techniques.
- Abdominal wall reconstruction.
- Robotic surgery applications.
Context:
- Incisional hernia repair is increasingly adopting minimally invasive approaches.
- Open sublay repair is resurging for optimal mesh placement in the retromuscular layer.
- Robotic systems are becoming more available for visceral surgery.
Purpose:
- To review robotic-assisted surgical methods for incisional hernias.
- To compare robotic approaches with open surgery.
- To explore future possibilities of robotic surgery in this field.
Summary:
- Robotic-assisted transperitoneal and total extraperitoneal approaches are detailed.
- Transversus abdominis muscle release facilitates robotic repair of complex hernias with fascial closure.
- Initial literature suggests perioperative advantages for robotic-assisted incisional hernia repair over open surgery.
Impact:
- Robotic surgery shows potential for improved perioperative outcomes in incisional hernia repair.
- Advanced robotic systems with dual consoles offer new surgical training opportunities.
- Integration of AI and AR with robotic platforms may revolutionize future surgical procedures.
