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Introduction <p>Robotic-assisted minimally-invasive extended totally extraperitoneal plasty (eTEP)-sublay-herniotomy is one of the most promising novel techniques for the management of ventral hernia. While several techniques for multiport-robotic-assisted eTEP have been described, only very few reports on suprapubic single-port robotic-assisted eTEP-techniques have been published. The technical limitations of this access leave room for further technical development using single-port-robotic systems.</p> Methods <p>We give a detailed description of our novel lateral-dock single-port robotic-assisted eTEP-procedure (Freiburg approach, FReTEP). Feasibility of the access was demonstrated within a human cadaveric procedure, and two consecutive patients were treated using the FReTEP-procedure.</p> Results <p>Two consecutive patients were successfully treated without postoperative complications and without early hernia recurrence using the FReTEP-procedure.</p> Conclusion <p>The FReTEP-procedure is a promising novel technique for single-port-robotic-assisted ventral hernia repair. Further studies are needed to evaluate the novel procedure.</p>

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Lateral-dock single-port robotic-assisted extended totally extraperitoneal plasty (eTEP)-Sublay-Herniotomy-Procedure– presentation of a novel technique for robotic-assisted ventral hernia surgery (with video)

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月12日

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  • Julian Hipp,
  • Robin Klewitz,
  • Hannes Neeff,
  • Stefan Fichtner-Feigl,
  • Philipp Anton Holzner

摘要

Introduction

Robotic-assisted minimally-invasive extended totally extraperitoneal plasty (eTEP)-sublay-herniotomy is one of the most promising novel techniques for the management of ventral hernia. While several techniques for multiport-robotic-assisted eTEP have been described, only very few reports on suprapubic single-port robotic-assisted eTEP-techniques have been published. The technical limitations of this access leave room for further technical development using single-port-robotic systems.

Methods

We give a detailed description of our novel lateral-dock single-port robotic-assisted eTEP-procedure (Freiburg approach, FReTEP). Feasibility of the access was demonstrated within a human cadaveric procedure, and two consecutive patients were treated using the FReTEP-procedure.

Results

Two consecutive patients were successfully treated without postoperative complications and without early hernia recurrence using the FReTEP-procedure.

Conclusion

The FReTEP-procedure is a promising novel technique for single-port-robotic-assisted ventral hernia repair. Further studies are needed to evaluate the novel procedure.