Robotic Umbilical Hernia Repair VIDEO: Dr. Mazen Iskandar Narrates the Procedure

In this video, Dr. Mazen Iskandar narrates a robotic pre-peritoneal umbilical hernia repair. This is a frequently performed procedure because umbilical hernias are one of the most common types of hernias.

More About Pre-Peritoneal Umbilical Hernia Repair

A robotic pre-peritoneal hernia repair is a minimally invasive surgical procedure used to treat hernias. This technique involves the use of a surgical robot, which the surgeon controls from a console to perform precise movements and repair the hernia. The procedure is performed through small incisions, which typically results in less bleeding, less postoperative pain, and a shorter recovery time compared to traditional open surgery.
In a pre-peritoneal hernia repair, the inner layer of the abdominal wall, known as the peritoneum, is partially separated from the abdominal wall itself to create a “pocket” for the placement of a reinforcing mesh. This mesh placement in the pre-peritoneal space is a key aspect of the procedure, as it helps to reinforce the abdominal wall and prevent the recurrence of the hernia. Moreover, the placement of the mesh behind the peritoneum that acts as a biological barrier greatly reduces the chance of adhesions of the intestines to the mesh and overall mesh related complications.
The robotic approach to pre-peritoneal hernia repair offers several advantages over traditional laparoscopic techniques. These include improved access to the different layers of the abdominal wall, better ergonomics, greater freedom of instrumentation, and increased image stability.

The use of the robot also allows for easier articulation of the instruments, which can be particularly beneficial in the placement of the mesh in the pre-peritoneal space.

Posted on February 10, 2024

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Dr. Iskandar, MD, FACS is a board-certified general surgeon with fellowship training in minimally invasive surgery and bariatric surgery. He is an accredited Surgeons of Excellence in Hernia Surgery by the SRC. The Iskandar Complex Hernia Center is one of only two North Texas Hernia Centers deemed Centers of Excellence. As a globally respected complex hernia expert, he specializes in complex hernia repair and abdominal reconstruction. He is also an Associate Professor of Surgery at Texas A&M School of Medicine.