ArticleSurgical endoscopy2026
What is the rate of incisional hernia? Analysis of initial 100 single-port robotic colorectal procedures.
Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
backgroundAs single-port robotic (SP r) colorectal surgery emerges, questions regarding incisional hernia (IH) rates exist. We evaluated our first 100 consecutive SP r colorectal resections to determine postoperative hernia rates.
methodsFrom a prospectively maintained database of SP r colorectal procedures, we identified the first 100 consecutive abdominal colorectal procedures. Imaging review was conducted by a blinded radiologist. Clinical examinations were performed by the operating surgeon to detect hernias. Diagnosis of IHs was analyzed as an overall group, by subset with or without postoperative imaging, and by incision position.
resultsBetween October 2018 and September 2024, 100 consecutive patients underwent SP r colorectal surgery via an abdominal approach. Mean age was 60.2 years (range 22-84) with a mean BMI of 27.4 kg/m DISCUSSION: In MIS abdominal colorectal surgery, the maximal incision size for colorectal surgery is dictated by the specimen diameter, not the port width. SP robotic surgery did not result in increased IH formation, with a hernia rate of only 4%. All hernias occurred at an umbilical incision site or were stoma associated. No hernias developed in the 76% of cases that a muscle-splitting incision or Pfannenstiel incision was employed. Umbilical incisions should be avoided whenever possible. Concerns regarding increased IH rates for SP r colorectal procedures are unfounded.
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