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Purpose <p>The aim of this study was to show efficacy of robot-assisted surgery in obese patient populations deemed high risk for ventral hernia repair (VHR).</p> Methods <p>A retrospective study looked at post-operative outcomes in obese patient populations (Class II, II, and IV) after robot-assisted VHR. Early and mid-term outcomes were reviewed and analyzed.</p> Results <p>Except for the older age of Class II obese patients compared to the Class III group, the three groups had comparable clinical factors, previous repairs, hernia defect size, and case complexity. Neither group had significant early complications outside of expected seromas, which did not require interventions. Class IV patients tended to remain in hospital longer as compared to Class II and III (1.7 ± 0.4 vs. 0.5 ± 0.2 and 0.5 ± 0.1 days). There were no clinically reported hernia recurrences by patients, and no hernias seen on incidental CT imaging during the follow-up period.</p> Conclusion <p>Robot-assisted ventral hernia repair in obese patients is feasible and equally durable even in Class III and Class IV. Further prospective studies are needed in order to implement a holistic approach to hernia care in obese patients.</p>

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Robot ventral hernia repair in class II-IV obesity: early and mid-term results

  • 期刊论文

  • 发表日期：

    2025年10月14日

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  • Jevgenia Zilberman-Rudenko,
  • Jeffrey Watkins,
  • Daniel Tseng,
  • Sabrina Drexel

摘要

Purpose

The aim of this study was to show efficacy of robot-assisted surgery in obese patient populations deemed high risk for ventral hernia repair (VHR).

Methods

A retrospective study looked at post-operative outcomes in obese patient populations (Class II, II, and IV) after robot-assisted VHR. Early and mid-term outcomes were reviewed and analyzed.

Results

Except for the older age of Class II obese patients compared to the Class III group, the three groups had comparable clinical factors, previous repairs, hernia defect size, and case complexity. Neither group had significant early complications outside of expected seromas, which did not require interventions. Class IV patients tended to remain in hospital longer as compared to Class II and III (1.7 ± 0.4 vs. 0.5 ± 0.2 and 0.5 ± 0.1 days). There were no clinically reported hernia recurrences by patients, and no hernias seen on incidental CT imaging during the follow-up period.

Conclusion

Robot-assisted ventral hernia repair in obese patients is feasible and equally durable even in Class III and Class IV. Further prospective studies are needed in order to implement a holistic approach to hernia care in obese patients.