Purpose of Review <p>Ventral Hernia repairs has seen a drastic change over last few years especially with the development of novel techniques like e-TEP, component separation and with the use of robotic platform. The purpose of this article is to review the available literature pertaining to the use of robotics in Ventral Hernia Repair and derive a conclusion on what, when and which appropriate technique could be used for an individual patient. This also aims to gauge the effectiveness and outcomes of Robotic repair.</p> Recent Findings <p>In robotic Intra-peritoneal underlay meshplasty (IPUM), ease of abdominal wall suturing comes at increased overall cost of procedure, however no distinct advantages over laparoscopy are observed. Procedure where robotic gives extra edge are rTAPP, TARUP, r-TEP, PeTEP. These procedures require accuracy in dissection and also involves extensive intra-corporeal suturing where robotic comes into play. The surgeon’s adaptability of procedures and overall patient outcomes have improved. Different comparative studies have shown significant differences in pain scores, quality of life, reduced morbidity, decreased suturing times and operating duration with robotic platform. Even surgeons have reported operating times of 120–160 min for rTEP ± posterior component separation; the duration being significantly shorter for such challenging procedures.</p> Summary <p>Although the effectiveness of robotic ventral hernia repair has been fairly established in early studies, more such experiences need to published. Also, the long-term outcomes in terms of recurrence are yet to be seen. Nevertheless, it has changed the way how complex and recurrent hernias were looked at.</p>

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Robotic Ventral Hernia Repair—Current Status

  • Vivek Bindal,
  • Aakash Patel,
  • Dhananjay Pandey,
  • Shailesh Gupta

摘要

Purpose of Review

Ventral Hernia repairs has seen a drastic change over last few years especially with the development of novel techniques like e-TEP, component separation and with the use of robotic platform. The purpose of this article is to review the available literature pertaining to the use of robotics in Ventral Hernia Repair and derive a conclusion on what, when and which appropriate technique could be used for an individual patient. This also aims to gauge the effectiveness and outcomes of Robotic repair.

Recent Findings

In robotic Intra-peritoneal underlay meshplasty (IPUM), ease of abdominal wall suturing comes at increased overall cost of procedure, however no distinct advantages over laparoscopy are observed. Procedure where robotic gives extra edge are rTAPP, TARUP, r-TEP, PeTEP. These procedures require accuracy in dissection and also involves extensive intra-corporeal suturing where robotic comes into play. The surgeon’s adaptability of procedures and overall patient outcomes have improved. Different comparative studies have shown significant differences in pain scores, quality of life, reduced morbidity, decreased suturing times and operating duration with robotic platform. Even surgeons have reported operating times of 120–160 min for rTEP ± posterior component separation; the duration being significantly shorter for such challenging procedures.

Summary

Although the effectiveness of robotic ventral hernia repair has been fairly established in early studies, more such experiences need to published. Also, the long-term outcomes in terms of recurrence are yet to be seen. Nevertheless, it has changed the way how complex and recurrent hernias were looked at.