Robotic Extended-View Totally Extraperitoneal Ventral Hernia Repair with Side Dock Approach

Emily J. Onufer, MD, MPH; Jeffrey A. Blatnik, MD, FACS

Product Details
Product ID: ACS-5810
Year Produced: 2019
Length: 7 min.


We present a case of a 56 year old male with a history of diabetes and a recurrent umbilical hernia. The hernia was causing him discomfort, but was non-obstructive. Video depicts a robotic Extended-view Totally ExtraPeritoneal (ETEP) ventral hernia repair via a left-sided docking approach, in a step-by-step fashion: trocar placement, dissection of the retrorectus space on the left, reduction of incarcerated hernia, further dissection of the retrorectus space on the right, primary repair of the posterior rectus defect, primary repair of the hernia defect, and ending with the placement of midweight polypropylene mesh (26x18cm). The patient was discharged the same day and has healed well postoperatively with no noted recurrence or complication. By working in the retrorectus space in a totally extraperitoneal approach, we are able to achieve primary fascial closure, wide mesh overlap, and avoid the placement of mesh inside the peritoneal cavity. Also, by avoiding the need for tacks, patients often report less pain and allow the procedure to be performed on an outpatient basis.