Robotic-assisted treatment of flank hernias with progressive intracorporeal fascial traction (PIFT): A novel technique for secure fascial adaptation.

ABSTRACT:

Background

Incisional flank hernias pose a particular challenge due to scarred, retracted fascial edges and complex regional anatomy. This study evaluates a robotic-assisted technique employing progressive intermittent intracorporeal fascial traction (Vicryl 0 sliding-knot) combined with barbed-suture augmentation (STRATAFIX™ Symmetric PDS 0) in large-volume defects.

Methods

Between June 2023 and January 2025, 13 patients with symptomatic incisional flank hernias underwent repair with the da Vinci X^® system. A macroporous polypropylene mesh was implanted. Patients were followed up at 1-, 3-, and 6-months including ultrasound, VAS pain scoring, and recurrence screening.

Results

Median total operative time was 167 min (IQR 117-193.5), console time 141 min (IQ

SUBMITTER: Hannebauer A 

PROVIDER: S-EPMC12630311 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature