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Robotic trans-abdominal retromuscular hernia repair for medium-sized midline hernias: midterm outcomes and surgical site occurrence (SSO) analysis in 120 patients.
J Robot Surg
December 2024
Department of Surgery, Dipartimento di Scienze della Salute, Asst Santi Paolo e Carlo, University of Milan, Milan, Italy.
Robotic surgery has become a popular method for treating ventral hernias due to its promising peri-operative outcomes. However, the long-term results of this approach are still unclear. In this study, 120 patients underwent robotic trans-abdominal retromuscular mesh placement (r-TARM) with a mean follow-up period of 18.
View Article and Find Full Text PDFRobot-Assisted Extraperitoneal Ventral Hernia Repair-Experience From the First 160 Consecutive Operations With Lateral eTEP and eTAR Techniques.
J Abdom Wall Surg
November 2024
Klinik für Allgemein-, Viszeral- und Kinderchirurgie-Klinikum Kempten, Kempten, Germany.
Introduction: There is a growing consensus on the benefits of retro-muscular (RM) mesh positioning, highlighted by its recommendation in the latest edition of EHS guidelines. The eTEP method has facilitated minimally invasive hernia repairs with retro-muscular mesh placement. With the increasing availability of robotic systems, there has been a corresponding increase in robotic adaptations of minimally invasive techniques involving retro-muscular mesh placement.
View Article and Find Full Text PDFMinimally invasive intraperitoneal onlay mesh plus (IPOM +) repair versus enhanced-view totally extraperitoneal (e-TEP) repair for ventral hernias: a systematic review and meta-analysis.
Surg Endosc
November 2024
Department of Surgery, University of North Carolina, Chapel Hill, NC, USA.
Introduction: Following concerns regarding an intraperitoneal mesh, newer ventral hernia repair (VHR) approaches focus on placing the mesh outside of the peritoneal cavity. The e-TEP technique used the retromuscular space and is suggested to be associated with decreased postoperative pain compared to IPOM +. This study aims to compare the IPOM + with the e-TEP for VHR.
View Article and Find Full Text PDFVentral Hernia Repair With a Hybrid Absorbable-permanent Preperitoneal Mesh.
Surg Laparosc Endosc Percutan Tech
December 2024
Department of Surgery, North Shore University Health System, Evanston, IL.
Article Synopsis
- - The study focused on evaluating the safety and effectiveness of the GORE SYNECOR Preperitoneal Biomaterial (PRE device) for ventral hernia repairs, involving a retrospective review of outcomes for 148 patients over more than a year post-surgery.
- - Results showed a low incidence of adverse events within 30 days (8.8% overall), with the main complications being surgical site infections (4.8%) and the need for reoperations (2.0%). Importantly, no hernia recurrences were reported during the study.
- - The findings suggest that the PRE device is both safe and effective for complex repairs, combining the benefits of absorbable and permanent mesh materials when placed in the retromuscular
Open versus robotic retromuscular ventral hernia repair: outcomes of the ORREO prospective randomized controlled trial.
Surg Endosc
December 2024
Prisma Health Department of Surgery, University of South Carolina School of Medicine Greenville, 701 Grove Rd, ST 3, Greenville, SC, 29605, USA.
Background: Robotic retromuscular ventral hernia repair (rRMVHR) potentially combines the best features of open and minimally invasive VHR: myofascial release with abdominal wall reconstruction (AWR) with the lower wound morbidity of laparoscopic VHR. Proliferation of this technique has outpaced the data supporting this claim. We report 2-year outcomes of the first randomized controlled trial of oRMVHR vs rRMVHR.
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