Surgery · 45 min ago
Robotic eTEP-TAR repair feasible in 26 liver transplant recipients
A single-center retrospective review described robotic-assisted enhanced-view totally extraperitoneal repair with bilateral transversus abdominis release in 26 liver transplant recipients with incisional hernias. No conversions, intraoperative complications, or recurrences were reported during a median 11-month follow-up, but the findings come from a small, selected cohort.
- Twenty-six liver transplant recipients underwent robotic eTEP with bilateral TAR.
- No conversions or intraoperative complications were reported.
- No recurrences were seen during median 11-month follow-up.
- Small, retrospective, single-center cohort limits conclusions.
Incisional hernias after liver transplantation can be challenging to repair. This single-center retrospective review included 26 adult liver transplant recipients who underwent robotic-assisted enhanced-view totally extraperitoneal (eTEP) repair with bilateral transversus abdominis release (TAR) between December 2022 and July 2026. Median age was 60 years, and median hernia dimensions were 12 cm long by 15 cm wide. The report also describes the surgical technique.
Median operative time was 381 minutes. There were no conversions to open surgery or intraoperative complications. One patient was readmitted with a mild drain-site infection, which was managed medically. Median hospital stay was two days. No hernia recurrences were observed over a median follow-up of 11 months.
The authors report favorable early outcomes in suitable candidates, suggesting the approach is feasible in this setting. However, the evidence is limited by the retrospective design, single-center experience, small cohort, and relatively short follow-up; the results do not establish comparative effectiveness or long-term recurrence risk.
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Surgical Endoscopy: How-I-do-it: bottom dock eTEP with bilateral TAR for incisional hernia after liver transplantation: early outcomes and feasibility ↗This is an automated AI-condensed summary that has not yet been reviewed by an editor. Always consult the full item at the original source.