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Updated: Jun 26, 2025

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Robotic transversus abdominis release using HUGO RAS system: our initial experience.

Nicolas Quezada1, Maria Jesus Irarrazaval2, David C Chen3

  • 1Department of Digestive Surgery, Faculty of Medicine, Pontificia Universidad Católica de Chile, 362 Diagonal Paraguay, 4th Floor, Office 410, Región Metropolitana, Santiago, Chile. nfquezad@uc.cl.

Surgical Endoscopy
|May 8, 2024
PubMed
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This summary is machine-generated.

Robotic transversus abdominis release (TAR) using the HUGO RAS system is a safe and feasible approach for complex abdominal wall hernias. This novel platform demonstrates successful adoption for improved patient outcomes.

Area of Science:

  • Minimally Invasive Surgery
  • Robotic Surgery
  • Abdominal Wall Reconstruction

Background:

  • Transversus abdominis release (TAR) is effective for large midline and off-midline hernias.
  • Robotic TAR (rTAR) shows improved outcomes compared to open surgery.
  • No prior experience exists with the HUGO RAS System for abdominal wall reconstruction.

Purpose of the Study:

  • To describe the initial experience with robotic TAR (rTAR) using the novel HUGO RAS System.
  • To evaluate the feasibility and safety of this new robotic platform for abdominal wall reconstruction.

Main Methods:

  • Consecutive patients undergoing rTAR with the HUGO RAS System were included.
  • Three of four arm carts were utilized, with custom arm configurations.
  • Redocking was performed for contralateral TAR, and operative variables/morbidity were recorded.
Keywords:
Abdominal wall repairHUGO RASHernia surgeryRobotic surgeryTARTransversus abdominis release

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Main Results:

  • Ten patients were included (median BMI 31 kg/m², median height 1.6 m).
  • A trend towards decreased operative, console, and redocking times was observed.
  • No intraoperative or postoperative morbidity was reported; median length of stay was 3 days.

Conclusions:

  • Robotic TAR with the HUGO RAS system is feasible and safe.
  • Successful adoption of this novel platform for complex abdominal wall hernias.
  • This technique offers a viable option for abdominal wall reconstruction.