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Introduction <p>Robotic extended-view totally extraperitoneal (eTEP) ventral hernia repair has emerged as a preferred approach to minimally invasive abdominal wall reconstruction. Herein, we report outcomes of the largest series of eTEP to date, including greater than 2-year follow-up.</p> Methods <p>We performed a retrospective review of all consecutive patients undergoing robotic eTEP hernia repair at a single institution. Data were collected in the Abdominal Core Health Quality Collaborative (ACHQC) with additional chart review to capture long-term follow-up, operative time, and eTEP approach. Descriptive analysis of patient demographics, operative details, perioperative, and postoperative outcomes are provided, along with Kaplan–Meier analysis for hernia recurrence.</p> Results <p>A total of 380 repairs were performed with a 2 conversions to open repair. Incisional hernias accounted for 94.5% of cases, including 31.8% recurrent defects, with a mean hernia width 7.6 ± 3.8&#xa0;cm. One-hundred fifteen (30.2%) of cases required additional lateral myofascial release, and fascial closure was achieved in 99.5% of cases. Rate of surgical site infection (SSI) was 1.6%, surgical site occurrence (SSO) was 48.7% (93% of which were seromas), LOS of 1&#xa0;day, and 2-year rate of hernia recurrence of just 4.4%.</p> Conclusion <p>Robotic eTEP ventral hernia repair exhibits favorable outcomes with a short length of stay, low rate of surgical site infection, and a promisingly low rate of hernia recurrence at 2&#xa0;years.</p>

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Robotic extended-view totally extraperitoneal approach for ventral and incisional hernia repair: single-center experience with 2-year follow-up

  • 期刊论文

  • 发表日期：

    2026年8月3日

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  • Michael W. Love,
  • Alfredo M. Carbonell,
  • Brittany Kothari,
  • Dawn Blackhurst,
  • Jeremy A. Warren

摘要

Introduction

Robotic extended-view totally extraperitoneal (eTEP) ventral hernia repair has emerged as a preferred approach to minimally invasive abdominal wall reconstruction. Herein, we report outcomes of the largest series of eTEP to date, including greater than 2-year follow-up.

Methods

We performed a retrospective review of all consecutive patients undergoing robotic eTEP hernia repair at a single institution. Data were collected in the Abdominal Core Health Quality Collaborative (ACHQC) with additional chart review to capture long-term follow-up, operative time, and eTEP approach. Descriptive analysis of patient demographics, operative details, perioperative, and postoperative outcomes are provided, along with Kaplan–Meier analysis for hernia recurrence.

Results

A total of 380 repairs were performed with a 2 conversions to open repair. Incisional hernias accounted for 94.5% of cases, including 31.8% recurrent defects, with a mean hernia width 7.6 ± 3.8 cm. One-hundred fifteen (30.2%) of cases required additional lateral myofascial release, and fascial closure was achieved in 99.5% of cases. Rate of surgical site infection (SSI) was 1.6%, surgical site occurrence (SSO) was 48.7% (93% of which were seromas), LOS of 1 day, and 2-year rate of hernia recurrence of just 4.4%.

Conclusion

Robotic eTEP ventral hernia repair exhibits favorable outcomes with a short length of stay, low rate of surgical site infection, and a promisingly low rate of hernia recurrence at 2 years.