Evidence map›Paper›PMID 39177907›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2024

Robotic-assisted surgery for lateral ventral hernias - experience of robot-assisted methods for retromuscular and preperitoneal abdominal wall reconstruction.

K Bauer, R Vogel, F Heinzelmann, P Büchler, Björn Mück

Abstract read
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In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Robotic TAPP repair of lateral abdominal wall hernias: a multi-center experience.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
  3. Article
  4. Article
  5. Robotic repair of off-midline abdominal wall hernias: a single institution consecutive case series.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

K BauerDepartment of General and Visceral Surgery, Klinikum Kempten - Klinikverbund Allgäu, Kempten, Germany.ORCID 0000-0002-9664-1333
R VogelDepartment of General and Visceral Surgery, Klinikum Kempten - Klinikverbund Allgäu, Kempten, Germany.
F HeinzelmannDepartment of General and Visceral Surgery, Klinikum Kempten - Klinikverbund Allgäu, Kempten, Germany.
P BüchlerDepartment of General and Visceral Surgery, Klinikum Kempten - Klinikverbund Allgäu, Kempten, Germany.
Björn MückDepartment of General and Visceral Surgery, Klinikum Kempten - Klinikverbund Allgäu, Kempten, Germany. bjoern.mueck@klinikverbund-allgaeu.de.ORCID 0000-0003-3417-8088

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to the proximity to bony structures and the complex anatomy of the three-layered lateral abdominal wall, the surgical treatment of lateral ventral hernias is technically demanding. With this study we would like to demonstrate how lateral abdominal wall hernias can be treated using new robotic surgical techniques with extraperitoneal mesh placement.

objectivesThe purpose of this study is to demonstrate that the application of the robot in minimally invasive treatment of lateral abdominal wall hernias is safe and efficient. MATERIALS AND

methodsA retrospective analysis of all patients who underwent robotically-assisted lateral ventral hernia repair surgery from June 2019 to December 2023 was performed.

resultsA total of 50 ventral hernias were operated robotically due to a lateral hernia in the study period. 45 patients had an incisional hernia and 5 patients a primary spighelian hernia. 27 patients had only lateral findings, whereas 23 patients had combined hernias with lateral and medial hernial defects. 18 patients were treated with a preperitoneal mesh (r-vTAPP). 31 patients required TAR to achieve complete fascial closure and sufficient mesh overlap (24 extraperitoneal approach r-eTAR/7 transperitonel approach r-TAR). One patient had to be converted intraoperatively from a planned preperitoneal mesh to an intraperitoneal mesh repair (r-IPOM). The median hernia defect area was 71 cm² (3-375 cm²). The median mesh size was 600 cm² (150-1290 cm²). The median mesh defect ratio (MDR) was 10 (2,33-133,33). Five postoperative complications were encountered (10%). Two reoperations (4%) were required.

conclusionThe utilization of new robotic surgical techniques provides a safe minimally invasive treatment option even for complex lateral ventral hernias that previously posed difficulties in surgical management. The early postoperative results show promising outcomes.

Indexed as

Abdominal WallHernia, VentralHerniorrhaphyRobotic Surgical ProceduresSurgical MeshAdultAgedFemaleHumansIncisional HerniaMaleMiddle AgedRetrospective StudiesLateral ventral herniaPreperitoneal meshRetromuscular meshRobotic hernia surgeryTransversus abdominis releaseVentral TAPP

Identifiers

PMID39177907

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.