Abstract
Robotic transabdominal preperitoneal repair (rTAPP) for ventral hernias incorporates skills and techniques learned from both open and conventional laparoscopic ventral hernia repairs. The rTAPP hernia repair is borrowed from conventional laparoscopic transabdominal preperitoneal repair (TAPP) for the treatment of groin hernias. This technique is built upon utilizing an uncoated mesh placed in a preperitoneal position. The robot allows for improved vision, ergonomics, and precision in separating and dissecting the individual layers of the abdominal wall. The preperitoneal approach allows for mesh to be placed in a position protected from the intra-abdominal content, thereby, reducing risk of visceral adhesions to mesh and perhaps eliminating the requirement of extensive mesh fixation. This chapter introduces rTAPP for ventral and incisional hernias.