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Updated: May 8, 2025

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Outcomes from 306 consecutive robotic ventral hernia repairs in the community setting.

Donna Edwin Chelliah1, Alexander D Schroeder2, Christopher J Johnson3

  • 1AdventHealth University, Orlando, FL, 32803, USA.

Journal of Robotic Surgery
|December 26, 2024
PubMed
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Robotic ventral hernia repair using techniques like IPOM+, vTAPP, and RR is safe and effective. This study found low complication and zero recurrence rates in 306 patients over medium-term follow-up.

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Oncology
  • Abdominal Wall Reconstruction

Background:

  • Robotic-assisted laparoscopy is gaining traction for ventral and incisional hernia repair.
  • Various robotic techniques exist, but more data is needed on their indications and benefits.

Purpose of the Study:

  • To retrospectively analyze outcomes of robotic ventral hernia repairs in a community setting.
  • To evaluate the safety, efficacy, and recurrence rates of different robotic techniques.

Main Methods:

  • Retrospective analysis of 306 consecutive robotic ventral hernia repairs over 2 years.
  • Techniques included intraperitoneal onlay mesh repair with fascial defect closure (IPOM+), ventral transabdominal preperitoneal repair (vTAPP), and retrorectus (RR) repairs (with or without transverse abdominis release - TAR).
Keywords:
Incisional herniaPreperitoneal repairRobotic ventral hernia repairTransverse abdominis release

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  • Outcomes assessed included complications, readmissions, reoperations, and hernia recurrences at a minimum 6-month follow-up.

    • Main Results:

    • 306 repairs: 63 IPOM+, 199 vTAPP, 44 RR (57% with TAR).
    • Low intraoperative (0.6%) and postoperative (0.3%) complications; 95% same-day discharge.
    • Overall complication rate 1.3%, readmission 1.0%, reoperation 1.0%, with zero hernia recurrences at an average 13.3-month follow-up.

    Conclusions:

    • Robotic ventral hernia repair is a safe and effective strategy for various abdominal wall hernias.
    • The study demonstrates low complication and recurrence rates in medium-term follow-up.
    • Robotic approaches offer a viable treatment option with favorable outcomes.