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Robotic Component Separation

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Laparoscopic and Robotic Incisional Hernia Repair

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Abstract

Component separation techniques to address large ventral hernias have dramatically evolved during the past decade. The touted benefits of a posterior component separation with transversus abdominis release (TAR), with its broad adaptability and favorable wound morbidity/recurrence profile, have led to its wide adoption for large, complex, and multiply-recurrent repairs. Concurrent development of the robotic platform and surgeon ingenuity have more recently culminated in the evolution of a minimally invasive TAR technique made practical and adaptable by robotic technology (rTAR). Here, we provide a detailed explanation of the benefits this technique offers in the context of alternative repairs described during the past 30 years. Though the operation is actively evolving, we will also provide a detailed depiction of our approach. While early retrospective reviews tout a shortened length of hospital stay compared to modern open and laparoscopic counterparts in order to justify the increased cost of the robotic platform, improved patient outcomes unique to the approach may ultimately provide enough value to substantiate the vitality of the operative approach.

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Author information

Authors and Affiliations

  1. Department of Surgery, Cleveland Clinic, Cleveland, OH, USA

    Clayton C. Petro

  2. Department of Surgery, Columbia University Medical Center, New York, NY, USA

    Yuri W. Novitsky

Authors
  1. Clayton C. Petro
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  2. Yuri W. Novitsky
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Corresponding author

Correspondence to Yuri W. Novitsky .

Editor information

Editors and Affiliations

  1. Surgeons Group of Baton Rouge, Our Lady of the Lake Physicians Group, Baton Rouge, LA, USA

    Karl A. LeBlanc

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Petro, C.C., Novitsky, Y.W. (2018). Robotic Component Separation. In: LeBlanc, K. (eds) Laparoscopic and Robotic Incisional Hernia Repair. Springer, Cham. https://doi.org/10.1007/978-3-319-90737-6_10

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  • DOI: https://doi.org/10.1007/978-3-319-90737-6_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-90736-9

  • Online ISBN: 978-3-319-90737-6

  • eBook Packages: MedicineMedicine (R0)

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