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ORIGINAL RESEARCH

J. Abdom. Wall Surg.
Volume 3 - 2024 | doi: 10.3389/jaws.2024.13256
This article is part of the Special Issue Minimally Invasive Repair of Ventral and Incisional Hernias (ipom, e-TEP, v-TAPP, MILOS, etc) View all 5 articles

Comparing open and robo.c unilateral transversus abdominis release in incisional hernias with a lateral component: a single center retrospec.ve study

Stijn Van Hoef Stijn Van Hoef 1,2*Hasan Huseyin Eker Hasan Huseyin Eker 1Frederik Berrevoet Frederik Berrevoet 1Mathias Allaeys Mathias Allaeys 1
  • 1 Department of General and HPB Surgery and Liver Transplantation, Ghent University Hospital, Ghent, Belgium
  • 2 Department of Abdominal Surgery, Virga Jessa - Sint-Trudo Hospital, Hasselt, Sint-Truiden, Belgium

The final, formatted version of the article will be published soon.

    Lateral hernias are oYen more challenging to correct when compared to midline defects, due to the anatomic boundaries of the bony pelvis, retroperitoneum, and costal margin. With the insurgence of robot assisted abdominal wall surgery, these defects have been found more manageable through a minimal invasive repair. In this study, we aim to present our shortterm results of incisional hernia repair with a lateral component requiring a unilateral transversus abdominis release, through open surgery versus robot assisted.A retrospec.ve analysis was performed of our robo.c and open abdominal wall repairs of lateral hernias, where a unilateral transversus abdominis release was performed, between January 2017 and December 2023. Pa.ent, hernia and periopera.ve details are reported.54 pa.ents in the open group versus 10 pa.ents in the robo.c group were included. Hernia width and hernia surface area were higher in the open group, but not significant. Opera.on .me was similar between open and robo.c procedures. In-hospital complica.ons, surgical site infec.on and clinical seroma rate during the first 30 postopera.ve days were similar in both groups. There was a clear difference in length of stay, in favor of the robo.c group.In our limited series, a robo.c approach seems safe and feasible when faced with large lateral hernias. Short-term results show a shorter length of stay using the robo.c approach, with no significant difference in short term complica.ons, specifically SSI-rate. However, conclusions are limited due to the low number of pa.ents and addi.onal studies should be performed to account for long term recurrence and increase included pa.ent number.

    Keywords: Hernia, robotic abdominal wall repair, TAR, comparative analysis, Lateral Abdominal Wall

    Received: 13 May 2024; Accepted: 04 Dec 2024.

    Copyright: © 2024 Van Hoef, Eker, Berrevoet and Allaeys. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Stijn Van Hoef, Department of General and HPB Surgery and Liver Transplantation, Ghent University Hospital, Ghent, Belgium

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