Robotic transabdominal preperitoneal approach for repair of primary, uncomplicated ventral hernias
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Ventral hernia repair is one of the most commonly performed general surgery procedures with an estimated 200,000 patients requiring repair each year. Recurrence rates for primary suture repair have been reported to be as high as 54%, which has been reduced by more than half with the use of mesh. Despite its prevalence, there is much discussion on appropriate operative techniques and mesh placement for patients with ventral hernias. Literature has shown that placing mesh intraabdominally increases intraperitoneal adhesions and increases the likelihood of bowel erosion or fistulas. Intraperitoneal mesh may also negatively impact any future subsequent surgical intervention as well.
Preperitoneal placement of mesh allows the mesh to incorporate on both sides, eliminating the need for full-thickness fixation which has been associated with increased acute and chronic pain. Prasad et al. reported that 2.3% of patients who underwent the intraperitoneal mesh placement with tacking had prolonged...
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The authors declare that they have no conflict of interest related to the topic of this manuscript.
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This article does not contain any studies with human participants performed by any of the authors.
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