Robotic TAPP Ventral Hernia Repair: Early Lessons Learned at an InnerCity Safety Net Hospital

Abstract

BACKGROUND AND OBJECTIVES: Ventral hernia repair is one of the most commonly performed general surgery procedures, and minimally invasive approaches are increasingly preferred. The physiologic repair offered by the preperitoneal approach is favorable, with reduced complications, but it remains a technical challenge. The robotic platform allows for enhanced instrument flexibility and ease of operation. We conducted a retrospective review of our experience with robotic transabdominal preperitoneal repair (rTAPP) versus robotic intraperitoneal onlay mesh (rIPOM) at a tertiary care hospital in an urban setting. METHODS: test and Chi square test, as applicable. RESULTS: = .018). Postoperative complications occurred only with rIPOM and included urinary retention, seroma, and fever. CONCLUSIONS: rTAPP is a promising alternative to rIPOM, with reduced complications without adding significant operative time, and may allow for reduced costs.