AUTHOR=Christoffersen M. W. , Andresen K. , Perregaard Helene , Henriksen N. A. 

TITLE=Robotic Surgical Procedures for Ventral Hernia Repair

JOURNAL=Journal of Abdominal Wall Surgery

VOLUME=Volume 4 - 2025

YEAR=2025

URL=https://www.frontierspartnerships.org/journals/journal-of-abdominal-wall-surgery/articles/10.3389/jaws.2025.14212

DOI=10.3389/jaws.2025.14212

ISSN=2813-2092

ABSTRACT=AbstractThe recent availability of the robotic platform has facilitated the adoption of advanced minimally invasive ventral hernia repairs. Robotic-assisted ventral hernia repair is an evolving field with many new techniques and acronyms for the 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 repair; 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). The descriptions are supported by illustrations. The paper describes how to place the trocars, practical tips and tricks and indications for each procedure is discussed shortly. Furthermore, technical details such as incision of the flap, access to the correct anatomical planes, the 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 performed procedures in a detailed step-by-step fashion.