Arielle M Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaki, MD, PhD, Kai Neki, MD, Ryan C Broderick, MD, Robert Cubas, MD, Joslin N Cheverie, MD, Bryan J Sandler, MD, Santiago Horgan, MD, Garth R Jacobsen, MD. UC San Diego
Increasingly large numbers of patients have large and complex abdominal wall defects, often from multiple prior abdominal operations. The component separation technique, first described in the early 1990s, allows abdominal wall reconstruction with rectus abdominus muscle advancement flap. Posterior component separation involves isolation and division of the transversus abdominis muscle. With the advent of robotic surgery, hernia surgeons are exploring minimally invasive approaches to complex abdominal wall defects. Both laparoscopic and robotic repairs of challenging ventral hernias permit shorter length of hospital stay for patients. Techniques for these approaches are often not well defined. Here we present a case of a young male patient with a large abdominal defect, and highlight the key steps in the process of robotic transversus abdominis release.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95249
Program Number: V007
Presentation Session: Hernia / Miscellaneous Potpourri
Presentation Type: Video