Robotic Surgical Procedures for Ventral Hernia Repair

The recent availability of robotic platforms has facilitated the adoption of advanced minimally invasive ventral hernia repair. Robotic-assisted ventral hernia repair is an evolving field with many new techniques and acronyms for different accesses and approaches. This paper aims to describe the fou...

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Main Authors: M. W. Christoffersen, K. Andresen, Helene Perregaard, N. A. Henriksen
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Journal of Abdominal Wall Surgery
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Online Access:https://www.frontierspartnerships.org/articles/10.3389/jaws.2025.14212/full
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author M. W. Christoffersen
K. Andresen
K. Andresen
Helene Perregaard
N. A. Henriksen
N. A. Henriksen
author_facet M. W. Christoffersen
K. Andresen
K. Andresen
Helene Perregaard
N. A. Henriksen
N. A. Henriksen
author_sort M. W. Christoffersen
collection DOAJ
description The recent availability of robotic platforms has facilitated the adoption of advanced minimally invasive ventral hernia repair. Robotic-assisted ventral hernia repair is an evolving field with many new techniques and acronyms for different accesses and approaches. This paper aims to describe the four currently most used procedures for robotic ventral hernia repair, all of which are MIS sublay repairs; robotic Trans-Abdominal-Preperitoneal (r-TAPP), robotic Trans-Abdominal-Retromuscular-Mesh (r-TARM), robotic Extended-Totally-Extra-Peritoneal (r-E-TEP), and robotic Transversus-Abdominis-Release (RoboTAR). Their descriptions are supported by illustrations. The paper describes trocar placement, practical tips and tricks, and briefly discusses the indications for each procedure. Furthermore, technical details such as the incision of the flap, access to the correct anatomical planes, dissection techniques, handling of the hernia sac, mesh choice and placement, and restoration of the abdominal wall layers are described. In conclusion, robotic ventral hernia repair has gained wide acceptance with promising postoperative results. There are many different techniques and approaches available, and this paper describes the four most commonly performed procedures in a detailed step-by-step fashion.
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spelling doaj-art-b57edb00fe504a5cad4cb39a2532a41c2025-08-20T03:12:35ZengFrontiers Media S.A.Journal of Abdominal Wall Surgery2813-20922025-02-01410.3389/jaws.2025.1421214212Robotic Surgical Procedures for Ventral Hernia RepairM. W. Christoffersen0K. Andresen1K. Andresen2Helene Perregaard3N. A. Henriksen4N. A. Henriksen5Department of Surgery, Zealand University Hospital Køge, Køge, DenmarkDepartment of Surgery, Copenhagen University Hospital - Herlev and Gentofte, Herlev, DenmarkDepartment of Surgery, Center for Perioperative Optimisation, Copenhagen University Hospital - Herlev and Gentofte, Herlev, DenmarkDepartment of Surgery, Nordsjællands Hospital University of Copenhagen, Hillerød, DenmarkDepartment of Surgery, Copenhagen University Hospital - Herlev and Gentofte, Herlev, DenmarkDepartment of Surgery, Center for Perioperative Optimisation, Copenhagen University Hospital - Herlev and Gentofte, Herlev, DenmarkThe recent availability of robotic platforms has facilitated the adoption of advanced minimally invasive ventral hernia repair. Robotic-assisted ventral hernia repair is an evolving field with many new techniques and acronyms for different accesses and approaches. This paper aims to describe the four currently most used procedures for robotic ventral hernia repair, all of which are MIS sublay repairs; robotic Trans-Abdominal-Preperitoneal (r-TAPP), robotic Trans-Abdominal-Retromuscular-Mesh (r-TARM), robotic Extended-Totally-Extra-Peritoneal (r-E-TEP), and robotic Transversus-Abdominis-Release (RoboTAR). Their descriptions are supported by illustrations. The paper describes trocar placement, practical tips and tricks, and briefly discusses the indications for each procedure. Furthermore, technical details such as the incision of the flap, access to the correct anatomical planes, dissection techniques, handling of the hernia sac, mesh choice and placement, and restoration of the abdominal wall layers are described. In conclusion, robotic ventral hernia repair has gained wide acceptance with promising postoperative results. There are many different techniques and approaches available, and this paper describes the four most commonly performed procedures in a detailed step-by-step fashion.https://www.frontierspartnerships.org/articles/10.3389/jaws.2025.14212/fullrobot-assisted ventral hernia repairventral herniaTARME-TEPRoboTAR
spellingShingle M. W. Christoffersen
K. Andresen
K. Andresen
Helene Perregaard
N. A. Henriksen
N. A. Henriksen
Robotic Surgical Procedures for Ventral Hernia Repair
Journal of Abdominal Wall Surgery
robot-assisted ventral hernia repair
ventral hernia
TARM
E-TEP
RoboTAR
title Robotic Surgical Procedures for Ventral Hernia Repair
title_full Robotic Surgical Procedures for Ventral Hernia Repair
title_fullStr Robotic Surgical Procedures for Ventral Hernia Repair
title_full_unstemmed Robotic Surgical Procedures for Ventral Hernia Repair
title_short Robotic Surgical Procedures for Ventral Hernia Repair
title_sort robotic surgical procedures for ventral hernia repair
topic robot-assisted ventral hernia repair
ventral hernia
TARM
E-TEP
RoboTAR
url https://www.frontierspartnerships.org/articles/10.3389/jaws.2025.14212/full
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AT heleneperregaard roboticsurgicalproceduresforventralherniarepair
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