TY  - JOUR
TI  - The endoscopic retromuscular approach (laparoscopic and robotic) of lateral abdominal wall hernias – a retrospective analysis from a single centre/single surgeon over 5 years
AU  - Suhaciu, Diana Teodora
AU  - Chiotoroiu, Alexandru Laurentiu
AU  - Radu, Victor Gheorghe
AU  - Visileanu, Emilia
AU  - Vladu, Alina
T2  - Industria Textila
AB  - Lateral abdominal wall hernias account for approximately 1–4% of all surgical procedures for abdominal wall repair. The
treatment of primary and incisional lateral abdominal wall hernias poses a challenge due to anatomical complexity, given
the muscular stratigraphy, adjacent bony structures, and nervous elements, as well as technical difficulties in approach.
Currently, there is no standardised surgical technique for the treatment of lateral hernias, with multiple approaches being
presented: open, minimally invasive (laparo-endoscopic or robotic), or hybrid. Textile biomaterials are used as a
biocompatible interface with the human body, in the form of medical devices, implants and prosthetic systems. The use
of knitted biotextiles for non-implantable items and implants has developed greatly in the new field of tissue engineering.
We present a 5-year retrospective study that includes cases of primary and incisional lateral abdominal wall hernias
treated laparoscopically and robotically in the Centre of Hernia Surgery, Life Memorial Hospital, from June 2016 to
December 2022. The study included 24 patients with primary and incisional hernias resolved laparoscopically
(eTEP-TAR, eTEP) and 5 cases resolved robotically. The majority of the cases (80.8%) of lateral hernias are incisional;
38.5% are strictly lateral hernias, with the rest having a median component. In the laparoscopic group, eTEP-TAR was
performed in 21 cases, and eTEP in 3 cases. In the 5 cases of surgery performed robotically, eTEP-TAR was carried
out. No cases of conversion were recorded. For the patients operated on laparoscopically: there was one incident of
small bowel injury during adhesiolysis, which was resolved during the same surgical session (with laparoscopic suture).
No complications were reported in the group of patients operated on robotically. The average postoperative
hospitalisation time was 39 hours. The average follow-up period was 4 years and 6 months, with no complications or
recurrences. The eTEP-TAR technique for repairing lateral hernia cases (incisional and primary) is difficult and complex;
however, the results are very good if performed correctly, whether laparoscopically or robotically, as demonstrated by
the reduced hospital stay, low level of postoperative pain, and rapid recovery of the patients.
DA  - 2025/08/28/
PY  - 2025
DO  - 10.35530/IT.076.04.202529
DP  - DOI.org (Crossref)
VL  - 76
IS  - 04
SP  - 599
EP  - 604
SN  - 12225347
UR  - https://revistaindustriatextila.ro/images/2025/4/015%20DIANA%20TEODORA%20SUHACIU%20_%20INDUSTRIA%20TEXTILA%20no.4_2025.pdf
Y2  - 2025/08/31/15:25:28
ER  -