Robotic Hernia Repair

Robotic Assisted Surgery (RAS)

It has been about 20 years since robots were first used on humans and it is now 10 years since I started using RAS for hernia, bariatric and general surgery.

In that time there have been many advances in RAS to the point that it is the preferred option in many complex hernia cases.  RAS is a variation on laparoscopic surgery where robotic arms replace those of the surgeon.

Advantages of RAS In Hernia Repair

Laparoscopic hernia repair has a considerable advantage over a normal open procedure in that there is far less trauma for the patient during the procedure which leads, in most cases, to far quicker recovery.

In the hands of a skilled practitioner, robotics takes laparoscopy to another level by:

• Improving the view of the area of the incision (RAS uses 3D vs 2D for laparoscopy)
• Improving the dexterity of the instruments (the robots have a greater range of motion that the human hand)
• Requiring a smaller incision and a smaller work space
• Often shorter hospital stays

The downsides to this approach is that the cost may be higher and the operation may take longer.

When Is RAS Used?

I make the decision to use RAS in consultation with the patient.

RAS can be used on most forms of hernia, but I will generally recommend this approach only when there are advantages over the normal laparoscopic or open procedures.

This is often the case with

• Complex or recurrent hernias
• Patients with previous abdominal surgeries
• Cases needing reconstruction of the abdominal wall

 Decisions on the type of surgery being undertaken is always taken with the best interests of the patient in mind.

Wait times for RAS are not usually a problem, as I have availability for robotic surgery at two hospitals.