Outcomes During the Learning Curve and Feasibility of Implementing the European Hernia Society Recommendation Guidelines for Robotic Abdominal Wall Surgery Within a UK Centre
BackgroundRobotic-assisted surgery (RAS) for abdominal wall hernia repair is an established, minimally invasive technique that is in the early phase of adoption within the UK. We aimed to demonstrate the impact on patient outcomes and safety of hernia repair by adhering to the robotic abdominal wall...
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Frontiers Media S.A.
2025-08-01
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| Series: | Journal of Abdominal Wall Surgery |
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| Online Access: | https://www.frontierspartnerships.org/articles/10.3389/jaws.2025.15008/full |
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| author | Javed Latif Matthew Brazkiewicz Ihsan Inan Filip Muysoms Imran Bhatti Altaf Awan |
| author_facet | Javed Latif Matthew Brazkiewicz Ihsan Inan Filip Muysoms Imran Bhatti Altaf Awan |
| author_sort | Javed Latif |
| collection | DOAJ |
| description | BackgroundRobotic-assisted surgery (RAS) for abdominal wall hernia repair is an established, minimally invasive technique that is in the early phase of adoption within the UK. We aimed to demonstrate the impact on patient outcomes and safety of hernia repair by adhering to the robotic abdominal wall surgery pathway developed by the European Hernia Society.Materials and MethodsTwo experienced laparoscopic surgeons in the UK underwent four phases that involved preclinical and clinical phases. The surgeons performed RAS hernia surgery with a stepwise increase in complexity, from robotic transabdominal preperitoneal (rTAPP) inguinal hernia repair, robotic transabdominal retrorectus umbilical prosthesis (rTARUP)/extended totally extraperitoneal (eTEP) to robotic transversus abdominis release (rTAR).ResultsIn total, 144 patients underwent RAS for hernia repair. Of these, 97 underwent rTAPP inguinal hernia repair (23 bilateral cases). The median operative time was 56 min for unilateral and 101 min for bilateral repair. Four (3.3%) rTAPP patients experienced complications, with two recurrences at the 6-month follow-up. Forty-two patients underwent rTARUP/eTEP repair, with a median operative time of 167 min. Two (4.8%) of these patients experienced postoperative complications. No recurrences were observed at 6 months. Thirteen patients with incisional hernias underwent rTAR, with a median operative time of 426 min. No recurrences were observed in rTAR patients, followed for up to 12 months.DiscussionImplementation of the EHS training pathway for robotic abdominal wall surgery resulted in a low complication rate and satisfactory clinical outcomes and represents a robust mechanism for surgeons to safely adopt complex robotic abdominal wall surgery. |
| format | Article |
| id | doaj-art-3fd3e3f15c7e4c0a80d1ce89b9e28ba2 |
| institution | Kabale University |
| issn | 2813-2092 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Journal of Abdominal Wall Surgery |
| spelling | doaj-art-3fd3e3f15c7e4c0a80d1ce89b9e28ba22025-08-20T03:44:27ZengFrontiers Media S.A.Journal of Abdominal Wall Surgery2813-20922025-08-01410.3389/jaws.2025.1500815008Outcomes During the Learning Curve and Feasibility of Implementing the European Hernia Society Recommendation Guidelines for Robotic Abdominal Wall Surgery Within a UK CentreJaved Latif0Matthew Brazkiewicz1Ihsan Inan2Filip Muysoms3Imran Bhatti4Altaf Awan5Department of Robotic Pancreaticobiliary and Abdominal Wall Reconstruction Unit, University Hospitals of Derby and Burton, Derby, United KingdomDepartment of Robotic Pancreaticobiliary and Abdominal Wall Reconstruction Unit, University Hospitals of Derby and Burton, Derby, United KingdomDepartment of General and Visceral Surgery, Clinique Generale Beaulieu, Geneve, SwitzerlandDepartment of Surgery, Maria Middalares, Gent, BelgiumDepartment of Robotic Pancreaticobiliary and Abdominal Wall Reconstruction Unit, University Hospitals of Derby and Burton, Derby, United KingdomDepartment of Robotic Pancreaticobiliary and Abdominal Wall Reconstruction Unit, University Hospitals of Derby and Burton, Derby, United KingdomBackgroundRobotic-assisted surgery (RAS) for abdominal wall hernia repair is an established, minimally invasive technique that is in the early phase of adoption within the UK. We aimed to demonstrate the impact on patient outcomes and safety of hernia repair by adhering to the robotic abdominal wall surgery pathway developed by the European Hernia Society.Materials and MethodsTwo experienced laparoscopic surgeons in the UK underwent four phases that involved preclinical and clinical phases. The surgeons performed RAS hernia surgery with a stepwise increase in complexity, from robotic transabdominal preperitoneal (rTAPP) inguinal hernia repair, robotic transabdominal retrorectus umbilical prosthesis (rTARUP)/extended totally extraperitoneal (eTEP) to robotic transversus abdominis release (rTAR).ResultsIn total, 144 patients underwent RAS for hernia repair. Of these, 97 underwent rTAPP inguinal hernia repair (23 bilateral cases). The median operative time was 56 min for unilateral and 101 min for bilateral repair. Four (3.3%) rTAPP patients experienced complications, with two recurrences at the 6-month follow-up. Forty-two patients underwent rTARUP/eTEP repair, with a median operative time of 167 min. Two (4.8%) of these patients experienced postoperative complications. No recurrences were observed at 6 months. Thirteen patients with incisional hernias underwent rTAR, with a median operative time of 426 min. No recurrences were observed in rTAR patients, followed for up to 12 months.DiscussionImplementation of the EHS training pathway for robotic abdominal wall surgery resulted in a low complication rate and satisfactory clinical outcomes and represents a robust mechanism for surgeons to safely adopt complex robotic abdominal wall surgery.https://www.frontierspartnerships.org/articles/10.3389/jaws.2025.15008/fullEuropean Hernia Societyhernia repairrobotic-assisted surgeryrobotic training programrobotic abdominal wall surgery |
| spellingShingle | Javed Latif Matthew Brazkiewicz Ihsan Inan Filip Muysoms Imran Bhatti Altaf Awan Outcomes During the Learning Curve and Feasibility of Implementing the European Hernia Society Recommendation Guidelines for Robotic Abdominal Wall Surgery Within a UK Centre Journal of Abdominal Wall Surgery European Hernia Society hernia repair robotic-assisted surgery robotic training program robotic abdominal wall surgery |
| title | Outcomes During the Learning Curve and Feasibility of Implementing the European Hernia Society Recommendation Guidelines for Robotic Abdominal Wall Surgery Within a UK Centre |
| title_full | Outcomes During the Learning Curve and Feasibility of Implementing the European Hernia Society Recommendation Guidelines for Robotic Abdominal Wall Surgery Within a UK Centre |
| title_fullStr | Outcomes During the Learning Curve and Feasibility of Implementing the European Hernia Society Recommendation Guidelines for Robotic Abdominal Wall Surgery Within a UK Centre |
| title_full_unstemmed | Outcomes During the Learning Curve and Feasibility of Implementing the European Hernia Society Recommendation Guidelines for Robotic Abdominal Wall Surgery Within a UK Centre |
| title_short | Outcomes During the Learning Curve and Feasibility of Implementing the European Hernia Society Recommendation Guidelines for Robotic Abdominal Wall Surgery Within a UK Centre |
| title_sort | outcomes during the learning curve and feasibility of implementing the european hernia society recommendation guidelines for robotic abdominal wall surgery within a uk centre |
| topic | European Hernia Society hernia repair robotic-assisted surgery robotic training program robotic abdominal wall surgery |
| url | https://www.frontierspartnerships.org/articles/10.3389/jaws.2025.15008/full |
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