Akademik Veri Yönetim Sistemi
The SAGES Manual of Robotic Surgery, Springer International Publishing Ag, ss.279-297, 2025
As minimally invasive methods become more widely embraced, an increasing number of research studies are focusing on investigating the results of hernia repairs using different approaches. Within this framework, we present a thorough examination of the complex robotic abdominal wall reconstruction technique and provide an overview of the existing evidence. Employing robotic technology in retromuscular ventral hernia repair, whether in conjunction with transversus abdominis release or not, offers a distinct advantage in reinstating the functional integrity of the abdominal wall. This advanced surgical method allows for precise reconstruction of the anatomical structure, ensuring a robust closure. The incorporation of a comprehensive robotic approach in the management of complex ventral hernia surgery aims to address technical challenges and improve ergonomics. The noteworthy aspect of the fully robotic approach lies in overcoming technical difficulties, resulting in a streamlined surgical process and empowering surgeons to navigate the intricacies of complex abdominal wall anatomy with heightened precision. In summary, the field of abdominal wall reconstruction has undergone continuous evolution since the introduction of open retromuscular ventral hernia repair, and this evolution is ongoing at a rapid pace. Robotic ventral hernia repair is increasingly popular and utilized. Evidence indicates that robotic approaches, with advanced myofascial release techniques like transversus abdominis release, exhibit superior complication rates and reduced postoperative length of stay compared to open procedures. As the technique for robotic retromuscular repair, with or without TAR, continues to advance, it is crucial for surgeons interested in incorporating it into their surgical repertoire to familiarize themselves with the anatomy, procedural workflow, and identification/avoidance of potential challenges. Understanding the progressive history of retromuscular hernia repair can establish a comprehensive knowledge base for hernia surgeons to critically analyze the rationale behind an approach, rather than just the method itself. This understanding can enhance patient selection, surgeon skill development, and overall operative outcomes.