Abstract

Abstract Objectives To demonstrate the benefit of robotic extraperitoneal endoscopic approach for the treatment of ventral incisional hernia in obese patients. Materials and Methods Descriptive video of the eTEP endoscopic technique using a lower approach for the treatment of multiple incisional hernias in obese patients. Utilizing a PLP mesh with silver ions. Results The postoperative period without complications, discharge 24 hours after surgery, first follow-up at 10 days post-intervention; the patient only required continuous analgesia for the first 72 hours. Three months after surgery, the patient reported no pain, physical examination showed no recurrence and excellent aesthetic results. Conclusions The repair of Ventral incisional hernia using the robotic Rives-Stoppa eTEP preperitoneal endoscopic eTEP Rives-Stoppa technique is a feasible and reproducible technique approach. It meets the same criteria as open surgery (broad sublay mesh and tension-free closure) and is safe for obese patients. Additionally, it offers advantages such as less postoperative pain, reduced need for analgesia, promotes rapid recovery, early resumption of work and daily activities and daily in safe manner, and excellent aesthetic result.