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We read with interest the recent article published in your journal by Zaman et al. [1] on observations and outcomes from transabdominal to totally extra‐peritoneal robotic ventral hernia repair. This well written article emphasises the safety and efficacy of robotic e-TEP (enhanced view totally extra‐peritoneal) approach in ventral hernia in comparison to robotic TA-SM (Transabdominal sublay mesh) approach with lesser conversion to open rates and reduced hospital stay. However, we would like to put up some of our queries arising on appraisal of this manuscript. It is noticeable that considerable number of patients in both groups of eTEP and TA-SM had prior hernia surgery. Did prior hernia surgery had any effect on performance of surgery or leading to effect on study outcomes in both or either of the groups? Also did the authors used drains in any of the eTEP or TA-SM repairs though recent evidence does suggest very little to no role of drains in ventral hernia repair [2]. Nevertheless, this study proves its worth in promoting robotic eTEP repairs for primary and recurrent ventral hernias and supplementing previously published literature [3, 4] along with mentioning of transition profile of a single surgeon among two robotic approaches of ventral hernia repair.
References
Zaman J, Teixeira L, Patel PB, Ridler G, Ata A, Singh TP (2023) From transabdominal to totally extra-peritoneal robotic ventral hernia repair: observations and outcomes. Hernia 27:1–9. https://doi.org/10.1007/s10029-023-02767-2. (Epub ahead of print. PMID: 36973467 PMCID: PMC10042403)
Arora E, Mishra A, Mhaskar R, Mahadar R et al (2022) Are drains useful in eTEP ventral hernia repairs? An AWR surgical collaborative (AWRSC) retrospective study. Surg Endosc 36(10):7295–7301. https://doi.org/10.1007/s00464-022-09121-0. (Epub 2022 Feb 14 PMID: 35165760)
Bauer K, Heinzelmann F, Büchler P, Mück B (2023) Robot-assisted extraperitoneal ventral hernia repair-Experience from the first 61 consecutive operations with eTEP and eTAR techniques]. Chirurgie (Heidelb) 94(2):147–154. https://doi.org/10.1007/s00104-022-01737-1. (Epub 2022 Oct 24. PMID: 36280627)
LeBlanc KA, Gonzalez A, Dickens E, Olsofka J, Ortiz-Ortiz C, Verdeja JC, Pierce R, Prospective Hernia Study Group (2021) Robotic-assisted, laparoscopic, and open incisional hernia repair: early outcomes from the Prospective Hernia Study. Hernia 25(4):1071–1082. https://doi.org/10.1007/s10029-021-02381-0. (Epub 2021 May 24 PMID: 34031762)
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Ajay Kumar Pal declares that he has no conflict of interest.
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Pal, A.K. Comment to “From transabdominal to totally extra-peritoneal robotic ventral hernia repair: observations and outcomes”. Hernia 27, 1027 (2023). https://doi.org/10.1007/s10029-023-02805-z
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DOI: https://doi.org/10.1007/s10029-023-02805-z