AI Article Synopsis
- New minimally invasive techniques for ventral hernia repair are evolving, focusing on robotic transabdominal pre-peritoneal repair with rectus aponeuroplasty (TAPPRA) for incisional and recurrent hernias.
- A study conducted between October 2023 and March 2024 on twelve patients showed that TAPPRA repair was feasible with an average duration of 135 minutes and no significant intraoperative complications.
- The results indicated that TAPPRA is safe and effective, with 83% of patients discharged within 24 hours and no significant postoperative complications noted, showcasing its potential for moderate-sized hernias.
Article Abstract
Introduction: Options for minimally invasive ventral hernia repair continue to evolve as a function of our understanding of the abdominal wall and the development of new techniques. We describe a robotic transabdominal pre-peritoneal repair with concurrent rectus aponeuroplasty (TAPPRA) for incisional and recurrent ventral hernias.
Methods: All patients in this retrospective cohort study underwent TAPPRA repair between October 2023 and March 2024. This study aimed to determine intraoperative feasibility of the technique and to assess immediate postoperative outcomes.
Results: Twelve patients underwent TAPPRA repair for incisional and/or recurrent ventral hernias at an academic hernia center. The median case duration was 135 min with no significant intraoperative complications noted. Average defect size for the hernias measures 6.5 × 8.5 cm. Polypropylene mesh was used to reinforce all defects, with the average dimensions being 19.7 × 21.5 cm. 83% of patients were discharged within 24 h of their procedure. No significant postoperative complications were noted.
Conclusion: We describe the first use of a novel ventral hernia repair technique, TAPPRA, and demonstrate that it is safe, feasible, and associated with appropriate short-term outcomes for repair of moderate sized incisional hernias.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11422084 | PMC |
| http://dx.doi.org/10.3389/jaws.2024.13195 | DOI Listing |
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