Robotic Hernia Surgery

Hernias (also known as abdominal wall hernias – inguinal hernias, umbilical hernias, etc.) are among the most common conditions in general surgery.Surgeries to repair them are among the most common surgeries, with tens of millions of such procedures performed annually in the Western world.
In a hernia, which is a benign condition, a gap is created in the wall, of the abdomen, from which an abdominal viscera (bowel, epiglottis, and more rarely the bladder and other organs) protrudes.

It is more common in men, with an incidence of 25%, while in women who will have surgery the incidence is 1 in 50.

 

What are the types of hernia?

Depending on the location of the protrusion of the organ in the body is called a hernia. So we have:

• Bubonic hernia (about 70% of all hernias)
• 70% of all hernias
• Umbilical hernia
• Femoral hernia
• Mirror hernia
• Epigastric hernia

What are the causes that favor hernia formation?

Conditions that increase intra-abdominal pressure (obesity, chronic cough, constipation, difficulty urinating due to prostatic hyperplasia, multiple births, heavy manual labor
Trauma
Previous abdominal surgery (mainly open surgery). These occur due to weakening of the abdominal wall along the scars. These hernias are called post-operative hernias
Elderly,
Malnutrition, malnutrition
Smoking
Disorder in collagen metabolism
Congenital predisposition (congenital)

What are the symptoms of hernia?

At first, a small lump may simply appear that does not cause pain. Gradually this may grow and become a permanent nuisance. . Coughing or exercise may aggravate it. It is usually reattachable meaning its contents fall back into place on their own. However in some cases it can develop into non-reducible and eventually cause perforation.

 

 

Is a hernia dangerous?

A hernia can become dangerous if it becomes perforated. Constriction will cause severe, sharp and dissecting pain, and requires immediate surgical treatment to prevent ischemia and necrosis of the protruding organ.

 

What is the treatment of hernia

When a hernia develops, the only way to treat it is surgical repair. The purpose of surgery is to close the gap in the abdominal wall and reinforce it with a mesh to reduce the chance of recurrence

 

What is Robotic Gingival Rehabilitation?

The most modern and effective method of treating cavities today is robotic reconstruction using mesh.

The advantages of robotics are impressive compared to older methods, classical open or laparoscopic surgery

The three-dimensional fixed camera, giving excellent visualization of the structures and the surgical field, and the great flexibility of the surgical instruments, which simulate the human hand but on a microscopic scale, make it easier for the surgeon and allow him to perform the operation bloodlessly and with great precision.

The entire abdomen is also reviewed, so that more than one hernia can be repaired at the same time (e.g. inguinal hernias).

It is the method of choice and is recommended in the guidelines for the treatment of hernia recurrences after open surgery

It is also ideal for the repair of athlete’s hernia and “abdominal- adductor syndrome”).

 

Is it necessary to use a grid and what grid is best

In all cases a mesh is placed to reduce the risk of recurrence. The small, almost invisible, 5-6 mm incision through which the robotic instruments enter is made only in the skin and not in the muscles as required in the classic open surgery.

Modern treatment of spots allows us to use absorbable light-weight meshes,

These meshes are completely absorbed in a few months, so no synthetic material is left in the tissues. This is particularly important for patients with diseases that may undergo other procedures in the future and in surgeries where the environment is not completely aseptic.

Also, these meshes are more resistant to infections and eliminate the feeling of a foreign body.

 

What restoration methods are available?

Two different techniques are widely used:

Transabdominal preperitoneal approach (TAPP): the technique requires entry into the peritoneal cavity (where the organs are located), opening the peritoneum from inside the abdomen, preparing the hernia, placing the mesh in the gap and closing the peritoneum with mesh overlay.
Total extraperitoneal approach (TEP): this technique avoids entering the peritoneal cavity. Instead, it is performed outside the peritoneal cavity, in a shot just above the peritoneum. The hernia gap is identified and repaired by placing a mesh.

The goal is painless treatment with the lowest recurrence rates and the fewest complications and infections

 

Which technique is best?

Different surgeons usually have their own preferences regarding laparoscopic repair techniques. In the hands of an experienced surgeon, both techniques have excellent results.

 

What are the advantages of Robotic Ciliary Restoration?

Recovery after surgery is immediate. The patient is mobilized 1-2 hours after surgery and is usually discharged the same day. Patients return to their daily routine within a few days. We also have other important advantages, such as:

Minimal tissue injury, as incisions in the abdomen are avoided
Minimal blood loss
Almost no post-operative pain
Reduction of postoperative complications
Minimal adhesion formation
Reduction of the risk of hernia recurrence, as access to the site is excellent
Rapid recovery and immediate return to daily activities and mild sports (e.g. walking, jogging) within 1-2 days
In professional athletes, full return to professional sports activities is achieved within 4-6 weeks after surgery (as opposed to the 3-4 months required after open surgery).
I have a huge hernia about 30 years old; can I fix it with robotics?

In experienced hands, robotic repair, is the method of choice, especially in cases of large or complex hernias. The use of the robotic system ensures precision, flexibility, control and great ease of surgical movements resulting in better access to the problem area.