Complex abdominal wall reconstruction: pushing the boundaries of minimally invasive surgery.

There are similar long-term recurrence rates across open, laparoscopic, and robotic approaches, though the learning curve impacts early outcomes.

There is conflicting evidence regarding early postoperative pain.

Despite higher upfront expenditure, hybrid approaches appear most cost-effective due to reduced complications and length of stay. rAWR is safe and effective, offering advantages in visualisation, and recovery, with outcomes comparable to or better than open repair.