P-081 ROBOTIC RECTUS DIASTASIS AND UMBILICAL HERNIA REPAIR - INITIAL EXPERIENCE

Abstract Aim Rectus diastasis is typically an asymptomatic but cosmetically displeasing condition that is not usually repaired except for cosmetic purposes. However, it is been observed that hernias with a rectus diastasis tend to have a higher recurrence rate and poorer cosmetic outcome if the diastasis is not repaired at the same procedure. The authors presents the first 11 cases of rectus diastasis and umbilical hernia repair with robotic assistance. Material & Methods we perform the procedure on 11 patients between january and december 2022. All patients have the diagnosis os rectus diastasis and umbilical hernia. All of then underwent a primary umbilical hernia repair with closure of the rectus diastasis, performed with robotic assistance. All procedures went without complications and the patients were discharged on the day after. We evaluate parameters such as lenght of the procedure, complications, post procedure pain and recurrence. Conclusions The repair of a hernia within a rectus diastasis has an higher recurrence rate, as the hernia lays within the thinned weakened linea alba. We believe, if possible, the repair of the diastasis will reduce the rate of hernia recurrence. We recommend considering robotic-assisted hernia repair ans diastasis closure for optimal longer outcome and improved cosmesis.