Ventral abdominal hernias remain a challenge for the general surgeon. Optimal management is still being sought; however, several advantages have developed in recent years that allow for low recurrence rates, decreased surgical site infections, and decreased length of inpatient stay. Although there exists little data supporting the robotic retromuscular ventral hernia repair, the benefit appears to be its ability to replicate an open operation, in a minimally invasive fashion. This chapter will provide details on preoperative care, operative steps, postoperative care, and some common tips and pitfalls that occur with robotic ventral hernia repair for both single-dock Rives-Stoppa and double-dock bilateral transversus abdominis muscle release hernia repair techniques.
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