Figure 2.

Robotic abdominal wall reconstruction with transversus abdominis release (TAR). (A) Incision in the posterior sheath at the medial edge of the rectus muscle. (B) Retromuscular dissection laterally to the semilunaris, then incision into the lateral posterior sheath and division of the transversalis with preservation of the innervating nerves. (C) Development of the extraperitoneal tissue plane and placement of secured, rolled mesh. Redock and repeat dissection on the contralateral side. (D) Posterior sheath is closed and mesh is unfurled. Rectus muscles reapproximated, repairing the hernia defect and any associated diastasis. (E) Repair complete.