Robotic Hernia Surgery

1. Inguinal Hernia

2. Umbilical Hernia

3. Incisional Hernia

4. Hiatal Hernia

5. Femoral Hernia

6. Ventral Hernia

1. Robotic TAPP (Transabdominal Preperitoneal Repair)

This is one of the most common robotic approaches for inguinal hernia repair. The surgeon accesses the hernia through the abdomen and places a mesh between the peritoneum (abdominal lining) and the muscles to reinforce the weakened area.

Provides clear visualization of both sides of the abdominal wall, making it ideal for bilateral hernias or those with recurrence.

Best for: Inguinal and femoral hernias.

2. Robotic eTEP (Extended Totally Extraperitoneal Repair)

An advanced technique primarily used for complex hernia repairs. The approach is similar to TEP but offers more space for the surgeon to work in the extraperitoneal area.

Enhanced flexibility and control for larger or more complicated hernias.

Best for: Large, recurrent, or complex ventral and umbilical hernias.

3. Robotic IPOM (Intraperitoneal Onlay Mesh)

Used for ventral and incisional hernias, this approach involves placing the mesh inside the abdominal cavity directly over the hernia defect.

Provides secure mesh placement, reducing the risk of hernia recurrence.

Best for: Ventral and incisional hernias.

4. Robotic TEP (Totally Extraperitoneal Repair)

This approach avoids entering the abdominal cavity, which can reduce the risk of certain complications. The surgeon operates in the space between the muscle layers of the abdominal wall.

No penetration of the peritoneum, which reduces the risk of injury to the abdominal organs and lowers the risk of infections or complications.

Best for: Inguinal and umbilical hernias.

1. Pre-surgery Preparations

• Consultation: The patient will meet with the surgeon to discuss the hernia, review medical history, and assess suitability for robotic surgery.
• Diagnostic Imaging: X-rays, ultrasound, or CT scans may be performed to assess the hernia’s size and location.
• Preoperative Guidelines :Patients are advised to stop smoking and Keep nil by mouth for 6 hours prior to surgery.

2. Procedure

• Anesthesia: The surgery is performed under general anesthesia.
• Incisions: 3 Key hole (ports) are made in the abdomen.
• Robotic System Setup: The surgeon operates from a console, guiding the robotic arms to insert specialized instruments through the ports.
• Hernia Repair: The surgeon uses the robotic instruments to push the herniated tissue back into place and reinforce the weakened area with a mesh.

3. Post- surgery care

• Hospital Stay: Patients are often discharged the next day or after a short hospital stay.
• Pain Management: Pain is typically mild and managed with over-the-counter medications.
• Recovery Timeline: Most patients return to normal activities within a week or two but should avoid strenuous activities for a few weeks.
• Follow-up: Patients will have follow-up appointments to monitor healing and ensure no complications arise.