*Purpose: Hernia formation is a well-known complication following open abdominal surgery that contributes to post-operative morbidity and decreases in patient quality of life. Herein we evaluate the efficacy of robotic-assisted incisional hernia repairs for patients who have previously had a liver transplant.

*Methods: Out of 20, a total of 13 liver transplant recipients were assessed to be candidates for robotic-assisted incisional hernia repair. Total operative time, estimated blood loss, length of hospital stay, and hernia reoccurrence were examined for enrolled patients post-operatively.

*Results: Patient characteristics are reported in Table 1. Mean operative time was 136.5 + 62.0 minutes (55 – 267) and estimated blood loss during operation was 12 + 14.6 milliliters (0.0 – 50.0). The mean length of hospital stay was 0.77 + 0.60 days (0 – 12) for all subjects. The recurrence rate for herniation is 7.7% with one subject experiencing reherniation and subsequent reoperation at 9 months following the initial repair operation.

*Conclusions: Overall, operative and post-operative complications are minimal, and the hernia recurrent rate for this study cohort is low. Longitudinal studies are in progress to further assess the efficacy and outcomes of this procedure. These data suggest that robotic-assisted incisional hernia repair for post liver transplant recipients is viable and provides a novel tool for treatment in a complicated post-transplant settings.

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