Ventral, Incisional, and Atypical Hernias Using a Robotic Transabdominal Preperitoneal Approach
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It is from the laparoscopic transabdominal preperitoneal repair (TAPP) for the treatment of groin hernias that the robotic transabdominal preperitoneal repair (rTAPP) for ventral hernias was adapted, integrating methods gained both from open and conventional laparoscopic ventral hernia repairs. With the robot, the dissection of the individual layers of the abdominal wall is done with greater visualization, ergonomics, and precision. The transabdominal preperitoneal approach is designed around the placement of uncoated mesh in a preperitoneal position, providing protection from the intra-abdominal content. This allows decreased risk of visceral adhesions to the mesh and potentially eliminating the requirement for significant fixation of the mesh. In this chapter, rTAPP will be discussed for the repair of ventral hernias.
KeywordsRobotic transabdominal preperitoneal approach Laparoscopic transabdominal preperitoneal repair rTAPP Umbilical hernias Subxiphoid hernias Suprapubic hernias
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