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Robotic management of complex traumatic hernias: A single-center experience
Carlos Balthazar da Silveira1, Sakura Horiuchi2, Ana Dias Rasador3
1Department of Surgery, Creighton University School of Medicine, Phoenix, AZ; Department of Surgery, Dignity Health Saint Joseph's Hospital and Medical Center, Phoenix, AZ.
Robotic repair is a safe and effective treatment for blunt traumatic lateral abdominal wall hernias, showing low complication and recurrence rates. This approach addresses complex injuries, often requiring advanced surgical techniques for optimal outcomes.
Area of Science:
- Abdominal wall reconstruction
- Trauma surgery
- Minimally invasive surgery
Background:
- Blunt traumatic lateral abdominal wall hernias are complex injuries from high-energy trauma.
- These hernias present unique reconstructive challenges, especially when involving bony structures.
- Limited data exist on robotic techniques for traumatic hernia repair.
Purpose of the Study:
- To evaluate the feasibility and safety of robotic repair for blunt traumatic lateral abdominal wall hernias.
- To analyze outcomes, including complication and recurrence rates, in patients undergoing robotic repair.
- To explore the utility of robotic transversus abdominis release in managing these complex injuries.
Main Methods:
- Retrospective review of patients undergoing ventral hernia repair at a high-volume hernia center.
- Identification of patients with lateral hernias secondary to blunt trauma.
- Analysis of demographics, hernia characteristics, operative techniques (including robotic transversus abdominis release), and outcomes.
Main Results:
- Of 109 lateral hernia repairs, 21 were trauma-related, primarily from motor vehicle collisions.
- Robotic repair was used in all cases, with robotic transversus abdominis release in 38.1%.
- Mean hernia width was 10.7 cm; complications included seromas and one abscess; no recurrences were observed at 1-year median follow-up.
Conclusions:
- Robotic repair of blunt traumatic lateral abdominal wall hernias is feasible and safe.
- Low complication and recurrence rates were observed, supporting robotic techniques for these injuries.
- Advanced techniques and surgical expertise are crucial for managing these complex traumatic hernias.
