AUTHOR=Van Hoef Stijn , Eker Hasan H. , Berrevoet Frederik , Allaeys Mathias 

TITLE=Comparing Open and Robotic Unilateral Transversus Abdominis Release in Incisional Hernias With a Lateral Component: A Single Center Retrospective Study

JOURNAL=Journal of Abdominal Wall Surgery

VOLUME=Volume 3 - 2024

YEAR=2025

URL=https://www.frontierspartnerships.org/journals/journal-of-abdominal-wall-surgery/articles/10.3389/jaws.2024.13256

DOI=10.3389/jaws.2024.13256

ISSN=2813-2092

ABSTRACT=Lateral hernias are oYen more challenging to correct when compared to midline defects, due to the anatomic boundaries of the bony pelvis, retroperitoneum, and costal margin. With the insurgence of robot assisted abdominal wall surgery, these defects have been found more manageable through a minimal invasive repair. In this study, we aim to present our shortterm results of incisional hernia repair with a lateral component requiring a unilateral transversus abdominis release, through open surgery versus robot assisted.A retrospec.ve analysis was performed of our robo.c and open abdominal wall repairs of lateral hernias, where a unilateral transversus abdominis release was performed, between January 2017 and December 2023. Pa.ent, hernia and periopera.ve details are reported.54 pa.ents in the open group versus 10 pa.ents in the robo.c group were included. Hernia width and hernia surface area were higher in the open group, but not significant. Opera.on .me was similar between open and robo.c procedures. In-hospital complica.ons, surgical site infec.on and clinical seroma rate during the first 30 postopera.ve days were similar in both groups. There was a clear difference in length of stay, in favor of the robo.c group.In our limited series, a robo.c approach seems safe and feasible when faced with large lateral hernias. Short-term results show a shorter length of stay using the robo.c approach, with no significant difference in short term complica.ons, specifically SSI-rate. However, conclusions are limited due to the low number of pa.ents and addi.onal studies should be performed to account for long term recurrence and increase included pa.ent number.