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From the Maria Middelares Hospital in Ghent (Belgium), a robotic assisted-abdominal retro-muscular prosthetic repair was performed by Dr. Filip Muysoms for a recurrent umbilical hernia after a trans-umbilical mesh repair 16 months ago, on a patient with a supra-umbilical rectus diastasis. Many different options are available for the treatment of ventral hernias. The surgeon's and patient's choice will be determined by patient variables (e.g. obesity), hernia variables (e.g. hernia size and location), and experience with surgical techniques and their availability (e.g. minimally invasive surgery). A mesh repair is considered the standard of care for the treatment of incisional and recurrent ventral hernias. The surgical approach (open, laparoscopic), mesh position (onlay, retro-muscular, pre-peritoneal, intra-peritoneal), and mess fixation technique (sutures, glue, self-fixating) must be selected. Dr. Filip Muysoms and his team in Belgium currently performed a robot-assisted laparoscopic retro-muscular mesh repair for midline ventral hernias. It allows to prevent wound morbidity in the incision above the mesh outside the abdomen. By using a self-fixating mesh it avoids the cost and pain of penetrating fixation with tackers.
