Robotic Transabdominal Preperitoneal Repair of Bilateral Arcuate Line Hernias

Arcuate line hernias (ALH) are uncommon defects with poorly understood etiology and only a few published reports in regard of diagnosis and repair. Prevalence is unknown because it is frequently misdiagnosed, rarely symptomatic, and, therefore, even more rarely surgically intervened. The authors present a case of a 51-year-old woman who presented to the emergency department with chronic diffuse abdominal pain, nausea, and anorexia. CT (computed tomography) scan of the abdomen and pelvis revealed bilateral ALH. The patient underwent a robotic transabdominal preperitoneal (rTAPP) repair. To our knowledge, this report is the first to describe a successful robotic approach for bilateral ALH repair using the TAPP technique.