Robotic repair of primary uncomplicated midline hernias

42nd Annual European Hernia Society Congress, Barcelona, İspanya, 28 - 29 Mayıs 2020, cilt.24, ss.1, (Özet Bildiri)

Background: There are multiple options for robotic ventral hernia

repair (rVHR) regarding optimal surgical approach, mesh position,

and type of access.

Purpose: We aim to compare short-term results in rVHR utilizing

three different techniques.

Methods: Patients were grouped as intraperitoneal onlay (IPOM),

transabdominal preperitoneal (TAPP) or retromuscular (RM). Clavien-

Dindo classification and Comprehensive complication index

(CCI ) were used to report postoperative complications and morbidity

scores. Surgical site events (SSEs), including surgical site

occurrences (SSOs) and surgical site infections (SSIs), were also

compared.

Results: From a total of 589 patients who underwent rVHR, 269

patients were enrolled in this study. IPOM repair was performed in 90

(33.5%) patients, TAPP in 108 (40.1) patients, and RM repair in 71

(26.4) patients. There were no differences regarding hernia defect size

for IPOM and TAPP groups, although larger defects were found in the

RM group. Larger mesh size and greater mesh overlap were achieved

in the RM group compared to the IPOM and TAPP groups while

achieving a significantly lower rate of mesh fixation (p\0.001). All

three repairs allowed for a higher mesh-to defect ratio than the recommended

ratio of 16:1. Operative time for the RM group was

longer. There were more SSEs in the IPOM group and greater grade

complications in the RM group. All three approaches had a short

LOS.

Conclusion: The short-term outcomes of robotic VHR using either

IPOM, TAPP or RM techniques have a low complication rate, high

mesh-to-defect ratio, short LOS and minimal complications. Robotic

minimally invasive repair for