Robotic Ventral Hernia Repair—Current Status

Poulose BK, Shelton J, Phillips S, Moore D, Nealon W, Penson D, et al. Epidemiology and cost of ventral hernia repair: making the case for hernia research. Hernia. 2012;16:179–83.

Article  CAS  PubMed  Google Scholar 

Al Chalabi H, Larkin J, Mehigan B, McCormick P. A systematic review of laparoscopic versus open abdominal incisional hernia repair, with meta-analysis of randomized controlled trials. Int J Surg. 2015;20:65–74.

Article  PubMed  Google Scholar 

Ballantyne GH, Hourmont K, Wasielewski A. Telerobotic Laparoscopic Repair of Incisional Ventral Hernias Using Intraperitoneal Prosthetic Mesh. JSLS: J Soc Laparoendoscopic Surgeons. 2003;7(1):7–14.

Köckerling F, Hoffmann H, Mayer F, et al. What are the trends in incisional hernia repair? Real-world data over 10 years from the Herniamed registry. Hernia. 2021;25:255–65.

Article  PubMed  Google Scholar 

Holihan JL, Nguyen DH, Nguyen MT, Mo J, Kao LS, Liang MK. Mesh location in open ventral hernia repair: a systematic review and network meta-analysis. World J Surg. 2016. https://doi.org/10.1007/s00268-015-3252-9.

Article  PubMed  Google Scholar 

Group VHW, Breuing K, Butler CE, Ferzoco S, Franz M, Hultman CS, et al. Incisional ventral hernias: review of the literature and recommendations regarding the grading and technique of repair. Surgery. 2010;148(3):544–58.

Muysoms FE, Miserez M, Berrevoet F, Campanelli G, Champault GG, Chelala E, Dietz UA, Eker HH, El Nakadi I, Hauters P, Hidalgo Pascual M, Hoeferlin A, Klinge U, Montgomery A, Simmermacher RK, Simons MP, Smietański M, Sommeling C, Tollens T, Vierendeels T, Kingsnorth A. Classification of primary and incisional abdominal wall hernias. Hernia. 2009;13(4):407–14. https://doi.org/10.1007/s10029-009-0518-x.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Jayaram PR, Pereira FD, Barrett JA. Evaluation of dynamic ultrasound scanning in the diagnosis of equivocal ventral hernias with surgical comparison. Br J Radiol. 2018;91(1088).

Ezeme C, et al. Ventral hernias: understanding the pathogenesis, prevention, and repair. Surg Oxford Int Edn. 2023;42(1):22–32.

Ramaswamy A. Preoperative optimization for abdominal wall reconstruction. Surg Clin North Am. 2023;103(5):917–33.

Article  PubMed  Google Scholar 

Ramirez OM, Ruas E, Dellon AL. “Components separation” method for closure of abdominal-wall defects: an anatomic and clinical study. Plast Reconstr Surg. 1990;86(3):519–26. https://doi.org/10.1097/00006534-199009000-00023.

Article  CAS  PubMed  Google Scholar 

Novitsky YW, Elliott HL, Orenstein SB, Rosen MJ. Transversus abdominis muscle release: a novel approach to posterior component separation during complex abdominal wall reconstruction. Am J Surg. 2012;204(5):709–16.

Article  PubMed  Google Scholar 

Niebuhr H, Aufenberg T, Dag H, Reinpold W, Peiper C, Schardey HM, Renter MA, Aly M, Eucker D, Köckerling F, Eichelter J. Intraoperative fascia tension as an alternative to component separation. Prospect Observ Study Front Surg. 2021;23(7): 616669.

Article  Google Scholar 

LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: pre- liminary findings. Surg Laparosc Endosc. 1993;3:39–41.

CAS  PubMed  Google Scholar 

Donkor C, Gonzalez A, Gallas MR, et al. Current perspectives in robotic hernia repair. Robot Surg. 2017;4:57–67.

PubMed  PubMed Central  Google Scholar 

Kudsi OY, Gokcal F, Chang K. Robotic intraperitoneal only versus totally extraperitoneal (TEP) retromuscular mesh ventral hernia repair: a propensity score matching analysis of short-term outcomes. Am J Surg. 2020;220(4):837–44.

Fuenmayor P, Lujan HJ, Plasencia G, Karmaker A, Mata W, Vecin N. Robotic-assisted ventral and incisional hernia repair with hernia defect closure and intraperitoneal onlay mesh (IPOM) experience. J Robot Surg. 2020;14(5):695–701. https://doi.org/10.1007/s11701-019-01040-y.

Article  PubMed  Google Scholar 

Petro CC, Zolin S, Krpata D, et al. Patient-reported outcomes of robotic vs laparoscopic ventral hernia repair with intraperitoneal mesh: the PROVE-IT randomized clinical trial. JAMA Surg. 2021;156(1):22–9.

PubMed  Google Scholar 

Ramshaw BJ, Esartia P, Schwab J, Mason EM, Wilson RA, Duncan TD, Miller J, Lucas GW, Promes J. Comparison of laparoscopic and open ventral herniorrhaphy. Am Surg. 1999;65(9):827–31.

Article  CAS  PubMed  Google Scholar 

Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli G, Fortelny R, Kockerling F, Kukleta J, LeBlanc K, Lomanto D, Misra M, Morales-Conde S, Ramshaw B, Reinpold W, Rim S, Rohr M, Schrittwieser R, Simon T, Smietanski M, Stechemesser B, Timoney M, Chowbey P. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (Inter- national Endohernia Society [IEHS])-Part III. Surg Endosc. 2014;28(2):380–404.

Article  CAS  PubMed  Google Scholar 

Sugiyama G, Chivukula S, Chung PJ, Alfonso A. Robot-assisted transabdominal preperitoneal ventral hernia repair. JSLS. 2015;19(4):e2015.00092. https://doi.org/10.4293/JSLS.2015.00092.

Kennedy M, Barrera K, Akcelik A, Constable Y, Smith M, Chung P, Sugiyama G. Robotic TAPP ventral hernia repair: early lessons learned at an inner city safety net hospital. JSLS. 2018;22(1):e2017.00070.

Bindal V, Pandey D, Gupta S. Laparoscopic intra-peritoneal onlay mesh plus versus robotic transabdominal pre-peritoneal for primary ventral hernias: our technique and outcomes. J Minim Access Surg. 2025;21(1):25–33.

Article  PubMed  Google Scholar 

Muysoms F, Van Cleven S, Pletinckx P, Ballecer C, Ramaswamy A. Robotic transabdominal retromuscular umbilical prosthetic hernia repair (TARUP): observational study on the operative time during the learning curve. Hernia. 2018;22(6):1101–11.

Article  CAS  PubMed  Google Scholar 

Garza A, Amaya-Romero C, Arevalo G. Outcomes of robotic transabdominal retromuscular repair: 3-year follow-up. J Abdom Wall Surg. 2024;20(3):12907.

Article  Google Scholar 

Cuccurullo D, Guerriero L, Mazzoni G, Sagnelli C, Tartaglia E. Robotic transabdominal retromuscular rectus diastasis (r-TARRD) repair: a new approach. Hernia. 2022;26(6):1501–9.

Article  CAS  PubMed  Google Scholar 

Maciel V, Mata W, Arevalo G, Zeichen M, Glass T. Robotic retro-rectus repair of parastomal hernias. J Robot Surg. 2019;13(3):483–9.

Article  PubMed  Google Scholar 

Sanders DL, Pawlak MM, de Beaux AC. European hernia society incisional hernia guidelines. Br J Surg. 2023;110(3):343.

Article  PubMed  Google Scholar 

Köckerling F, Hoffmann H, Mayer F, Zarras K, Reinpold W, Fortelny R, et al. What are the trends in incisional hernia repair? Real-world data over 10 years from the Herniamed registry. Hernia. 2021;25(2):255–65.

Article  PubMed  Google Scholar 

Belyansky I, Zahiri HR, Park A. Laparoscopic transversus abdominis release, a novel minimally invasive approach to complex abdominal wall reconstruction. Surg Innovation. 2016;23(2):134–41.

Article  Google Scholar 

Belyansky I, Daes J, Radu VG, Balasubramanian R, Reza Zahiri H, Weltz AS, Sibia US, Park A, Novitsky Y. A novel approach using the enhanced-view totally extraperitoneal (eTEP) technique for laparoscopic retromuscular hernia repair. Surg Endosc. 2018;32(3):1525–32.

Article  PubMed  Google Scholar 

Martin-Del-Campo LA, Weltz AS, Belyansky I, Novitsky YW. Comparative analysis of perioperative outcomes of robotic versus open transversus abdominis release. Surg Endosc. 2017;32:840–5.

Article  PubMed  Google Scholar 

Belyansky I, Reza Zahiri H, Sanford Z, et al. Early operative outcomes of endoscopic (eTEP access) robotic-assisted retromuscular abdominal wall hernia repair. Hernia. 2018;22:837–47.

Bauer K, Heinzelmann F, Büchler P, Mück B. Robot-assisted extraperitoneal ventral hernia repair—experience from the first 61 consecutive operations with eTEP and eTAR techniques. Chirurgie (Heidelb). 2023;94(2):147–54.

Article  CAS  PubMed  Google Scholar 

Korneffel K, Nuzzo W, Belden CM, McPhail L, O’Connor S. Learning curves of robotic extended totally extraperitoneal (eTEP) hernia repair among two surgeons at a high-volume community hospital: a cumulative sum analysis. Surg Endosc. 2023;37(12):9351–7.

Article  PubMed  Google Scholar 

Halpern DK, Liu H, Amodu LI, Weinman K, Akerman M, Petrone P. Long term outcomes of robotic-assisted abdominal wall reconstruction: a single surgeon experience. Hernia. 2023;27(3):645–56. https://doi.org/10.1007/s10029-023-02774-3.

Article  CAS  PubMed  Google Scholar 

Arias-Espinosa L, Claus CM, Malcher F, Valenzuela Alpuche HA. Robotic preperitoneal extended totally extraperitoneal (R-PeTEP) technique description for ventral hernia repair: preliminary results. Updates Surg. 2024;76(7):2715–22. https://doi.org/10.1007/s13304-024-02002-2.

Article  PubMed  Google Scholar 

Radu VG. Case report: robotic PeTEP for totally extraperitoneal repair of incisional hernia. J Abdom Wall Surg. 2025;12(4):14072.

Article  Google Scholar 

de’Angelis N, Schena CA, Moszkowicz D, Kuperas C, Fara R, Gaujoux S, et al. Robotic surgery for inguinal and ventral hernia repair: a systematic review and meta-analysis. Surg Endosc. 2023;38:24–46. https://doi.org/10.1007/s00464-023-10545-5.

Lima DL, Berk R, Cavazzola LT, Malcher F. Learning curve of robotic enhanced-view extraperitoneal approach for ventral hernia repairs. J Laparoendosc Adv Surg Tech A. 2023;33(1):81–6. https://doi.org/10.1089/lap.2022.0270.

Article  PubMed 

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