DaVinci Robotic Hernia Surgery

Dr Yunis sitting at the Da Vinci XI Surgical System

What is Robotic Hernia Surgery?

Inguinal and Ventral Hernia repair is always evolving and improving.

Robotic repair of Inguinal and Ventral Incisional Hernias is the latest most significant step in the evolution of Hernia surgery.

This technology allows the surgeon to operate through 3 or 4 small incisions similar to laparoscopy. One difference is that the visual resolution is 3D and Ultra High Definition. Another advantage is the use of instruments that rotate and articulate allowing for more precise and efficient action by the surgeon.

How is Robotic Hernia Surgery different from Laparoscopic Hernia Surgery?

Laparoscopic hernia surgery began over 30 years ago. Laparoscopic hernia repair changed things radically by avoiding large incisions and their inherent potential complications. Using 1-inch incisions, the surgeon placed small tubes (known as trocars) into the patient's abdomen. Typically 3 trocars are placed and a camera is placed through one and various instruments ( forceps, scissors, graspers, and needle holders to sew tissue) through the remaining trocars. Typically an assistant would hold the camera and show the operating surgeon the area being worked on. The surgeon is viewing a video monitor and using his or her right and left hands to operate through these small trocars.

Over the last 10 years, laparoscopic hernia repair has evolved into Robotic Hernia repair. One difference is that the camera used is of much higher resolution and sends a 3-dimensional image to the surgeon. This visualization alone is responsible for significant improvement in surgical accuracy and safety. The second difference is that the instruments that pass through the small incisions are significantly improved over laparoscopic instruments. The robotic instruments have multiple points of rotational ability that gives the surgeon the sense their hand is inside of the abdomen.

About Robotic (DaVinci) Hernia Surgery

  • The robot is a tool that allows the surgeon to have improved range of motion and ultra high definition 3D resolution.
  • Three 1/2 inch incisions are created in the abdominal wall and different instruments are passed through them.
  • The surgeon is seated adjacent to the operating room table and controls the camera and instruments with various hand controls and clutches and foot pedals.
  • The surgeon exposes the hernia from the inside of the abdominal wall and creates a space for a customized piece of mesh to be placed behind the muscle and with another layer separating it from the internal organs.
  • Minimal postoperative discomfort
  • Low risk of infection
  • Shorter hospital stay – patients usually discharged within 36 hours.
  • For more information, please review the DaVinci website
DaVinci XI Console

The Robotic Hernia Surgery Procedure

surgeon hands on controls articulation
The surgery begins with the surgeon placing small tubes known as "trocars" through these small incisions. The surgical assistant stands next to the patient and can exchange cameras and instruments to be placed through the trocars. The camera and instruments are then attached to the robotic arm system. The surgeon sits at a console where he or she is immersed in a 3D ultra high definition viewer. The instruments placed into the abdominal cavity are controlled by the surgeon using delicate controls managed by finger, hand and foot movements.

Robotic hernia repair often has many advantages over conventional open or laparoscopic hernia repair. Every patient is different and your surgeon will customize the technique for your needs. Sometimes open or laparoscopic techniques are more appropriate for certain people with certain hernias.

Does Insurance Cover Robotic Hernia Surgery?

Widely held insurance plans that cover minimally invasive surgery typically cover robotic hernia surgery.

Don’t have insurance but need hernia repair? Contact us today to learn more about how we can help you.

Center for Hernia Repair

1435 South Osprey Avenue
Suite 201
Sarasota, Florida 34239
941.953.5917
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