Masters Program Hernia Pathway: Robotic Complex Ventral Hernia Repairs (TAR)

Abstract

The Rives-Stoppa retromuscular incisional hernia repair technique is a preferred technique for open incisional hernia repair. In this technique, the retromuscular plane behind the rectus muscle is dissected, creating a pocket for mesh placement. In recent times, this open technique was adapted to the robot. A retrorectus dissection, with or without the addition of a transversus abdominis release, or posterior component separation is able to be carried out. Essentially, every step of the open approach is reproduced in a minimally invasive fashion. This chapter will describe the evolution of the procedure from infancy to current techniques. It will also describe pearls and common pitfalls and assist robotic surgeons in reproducing this repair technique for ventral hernias.