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Updated: Jun 5, 2025

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Robot-Assisted Extraperitoneal Ventral Hernia Repair-Experience From the First 160 Consecutive Operations With

Robert Vogel1, Frank Heinzelmann1, Peter Büchler1

  • 1Klinik für Allgemein-, Viszeral- und Kinderchirurgie-Klinikum Kempten, Kempten, Germany.

Journal of Abdominal Wall Surgery : JAWS
|December 9, 2024
PubMed
Summary
This summary is machine-generated.

Robotic eTEP surgery using a lateral approach is a safe method for ventral hernia repair with retro-muscular mesh placement. This minimally invasive technique demonstrates a low complication rate, making it a viable option for hernia treatment.

Keywords:
eTAReTEPextraperitoneal mesh placementretromuscular mesh repairrobotic abdominal wall repair

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Oncology
  • Abdominal Wall Reconstruction

Background:

  • Retro-muscular (RM) mesh positioning is increasingly recommended for hernia repair.
  • The endoscopic totally extraperitoneal (eTEP) approach facilitates minimally invasive RM mesh placement.
  • Robotic systems are increasingly being adapted for minimally invasive retro-muscular mesh techniques.

Purpose of the Study:

  • To evaluate the safety and efficacy of the robotic eTEP technique with a lateral approach for ventral hernia repair.
  • To analyze perioperative and postoperative outcomes in patients undergoing robotic ventral hernia repair.
  • To assess complication rates and hernia recurrence following robotic eTEP surgery.

Main Methods:

  • Retrospective analysis of 160 patients who underwent robotic ventral hernia repair using the lateral extraperitoneal eTEP technique.
  • Data collected included preoperative, perioperative, postoperative, and hernia-specific parameters.
  • Analysis was performed using the hospital information system.

Main Results:

  • 160 patients underwent repair, with 111 for incisional and 49 for primary hernias.
  • Median operative time was 143 minutes, and median hospital stay was 3 days.
  • The postoperative complication rate was 6.25% (10 patients), with 1.72% requiring reoperation; 5 seromas were detected postoperatively, none requiring surgery.

Conclusions:

  • The lateral approach of robotic eTEP is a safe and effective minimally invasive method for ventral hernia repair with retro-muscular mesh.
  • This technique offers a low complication rate and favorable outcomes for patients.
  • Further research is needed to compare extraperitoneal with transperitoneal robotic approaches.