Current Surgery Reports, cilt.12, sa.11, ss.395-407, 2024 (ESCI)
Purpose of Review: The landscape of abdominal wall hernia repair has seen significant evolution with the advent of robotic-assisted techniques. This review explores the indications and outcomes of robotic ventral hernia repair (RVHR), highlighting its advantages over conventional approaches. Recent Findings: Comparative studies reveal a notable reduction in surgical site infection rates with RVHR compared to open repair, although findings regarding laparoscopic versus robotic approaches are inconclusive. Operative time tends to be longer in robotic procedures, influenced by factors such as surgeon learning curve and technique complexity. Length of stay is significantly shorter in RVHR compared to open repair, with comparable outcomes to laparoscopic approaches. Readmission and reoperation rates do not significantly differ between robotic and other techniques, while recurrence rates vary across studies. Cost analysis demonstrates higher hospital costs associated with RVHR, albeit with potential cost offsets in post-discharge care. Summary: RVHR presents distinct advantages in minimally invasive hernia repair, offering improved outcomes and enhanced surgical capabilities. Continued research and participation in hernia registries are crucial for advancing patient care and optimizing surgical outcomes in ventral hernia repair.