Robotic transversus abdominis release: A paradigm shift in complex abdominal wall surgery?

Cir Esp (Engl Ed). 2023 May:101 Suppl 1:S28-S32. doi: 10.1016/j.cireng.2023.01.012.

Abstract

Abdominal wall reconstruction techniques have evolved significantly over the last fifty years and continue to do so at an increasing pace. Beginning with open incisional hernia repair with bilateral rectus myofascial release, multiple techniques to offset tension at the midline by exploring options of layered myofascial release have been described. This article reviews the history, technique, advancements, and future of myofascial release in abdominal wall reconstruction leading from the open Rives-Stoppa repair to the robotic-assisted iteration of the transversus abdominis release.

Keywords: Hernia repair; Incisional; Liberación del musculo transverso del abdomen; Posterior component separation; Reparación de hernia; Retromuscular; Rives Stoppa; Robotic; Robótica; Separación de componentes posterior; TAR; Transversus abdominis release; Ventral.

Publication types

  • Review

MeSH terms

  • Abdominal Muscles / surgery
  • Abdominal Wall* / surgery
  • Hernia, Ventral* / surgery
  • Herniorrhaphy / methods
  • Humans
  • Robotic Surgical Procedures*