OC-017 Robotic abdominal wall program surgery: Initial experience of our first 101 cases

Abstract Aim Minimally invasive surgery in abdominal wall had spread exponentially the last decade, specially with robotic appearance. In our hospital, Abdominal Wall Unit started program 2019. The experience of team laparoscopic allowed us to introduce complex pathologies. aim this study is describe progressive evolution that we first 101 cases Material and Methods Patients ventral/incisional hernias medium high complexity no loss domain, parastomal inguinal hernias. surgeries were performed by X or Xi DaVinci platform. Result patients (115 surgeries) considered study. All them underwent surgery. Women 46 (45,5%) men 55 (54,5%). mean IBM was 34 (±3,7). main hernia midline: 53 (52,5%), more frequent techniques eTEP 32 (31,7%), RoboTAR (intrabdominal transversus abdominis muscle release) 19 (18,8%), bilateral TAPP 16 (15,9%) Pauli 15 (14,9%). Also, 11(10,9%) protocol botulinum toxin called Robotox decreasing TAR procedure. most operating time mean: 315 min (260–350) while 225 (180–269). 4 (3,9%) a recurrence follow-up 26 months (3–37). Conclusion implementation an unit possible but it necessary standarize training improve progressively skills.