Robotic eTEP-TAR abdominal wall reconstruction for complex post liver transplant incisional hernia with concomitant inguinal hernia repair: A video vignette

dc.authorid0000-0002-3092-4955
dc.authorid0000-0002-5211-1779
dc.authorid0000-0002-5317-8545
dc.authorid0000-0001-6723-0909
dc.authorid0000-0003-1704-2533
dc.contributor.authorBayrakçeken, Serra
dc.contributor.authorBenlice, Çigdem
dc.contributor.authorAghayeva, Afag
dc.contributor.authorKudsi, Omar Yusef
dc.contributor.authorBaca, Bilgi
dc.date.accessioned2026-09-17T11:27:30Z
dc.date.available2026-09-17T11:27:30Z
dc.date.issued2026
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractIntroduction Complex incisional hernias after major upper abdominal surgery are technically challenging because of altered anatomical planes, multiple fascial defects, and expected adhesions. Robotic enhanced-view totally extraperitoneal repair with transversus abdominis release may provide a minimally invasive option for selected patients by enabling retromuscular dissection, fascial closure, and wide extraperitoneal mesh reinforcement while limiting intraperitoneal manipulation. Case presentation This video vignette presents an 84-year-old man with multiple incisional hernia defects along a previous Mercedes incision after liver transplantation and a concomitant left direct inguinal hernia. Preoperative imaging demon strated a wide subxiphoid abdominal wall defect and a fat-containing left inguinal hernia. Surgical technique A robotic eTEP-TAR approach was performed. Bilateral retromuscular dissection was completed, the inguinal and incisional hernia contents were reduced, and bilateral transversus abdominis release was performed to facilitate medial fascial advancement and lateral extension of the working space. The fascial and peritoneal defects were closed intra corporeally, and wide mesh reinforcement was achieved using a 30 × 30 cm polypropylene mesh, with additional meshes placed for the inguinal and lower quadrant defects. The postoperative course was uneventful, and the patient was discharged on postoperative day 2. At postoperative day 7 follow-up, he had no complaints, and the wounds were clean. Conclusion This case demonstrates the feasibility of robotic eTEP-TAR abdominal wall reconstruction with concomitant inguinal hernia repair in a selected post-transplant patient with complex abdominal wall defects.
dc.identifier.citationBayrakçeken, S., Benlice, Ç., Aghayeva, A., Kudsi, O. Y., & Baca, B. (2026). Robotic eTEP-TAR abdominal wall reconstruction for complex post liver transplant incisional hernia with concomitant inguinal hernia repair: A video vignette. Hernia, 30(1), pp. 1-3. https://doi.org/10.1007/s10029-026-03849-7
dc.identifier.doi10.1007/s10029-026-03849-7
dc.identifier.endpage3
dc.identifier.issn1248-9204
dc.identifier.issn1265-4906
dc.identifier.issue1
dc.identifier.pmidPMID: 42700276
dc.identifier.scopus2-s2.0-105049290165
dc.identifier.scopusqualityQ1
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.1007/s10029-026-03849-7
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1645
dc.identifier.volume30
dc.identifier.wosWOS:001868364500004
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorBenlice, Çigdem
dc.institutionauthorid0000-0002-5211-1779
dc.language.isoen
dc.publisherSpringer Nature Link
dc.relation.ispartofHernia
dc.relation.publicationcategoryDiğer
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectRobotic Surgery
dc.subjectEtep
dc.subjectTransversus Abdominis Release
dc.subjectIncisional Hernia
dc.subjectAbdominal Wall Reconstruction
dc.titleRobotic eTEP-TAR abdominal wall reconstruction for complex post liver transplant incisional hernia with concomitant inguinal hernia repair: A video vignette
dc.typeCase Report
dspace.entity.typePublication

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