Robotic Assisted Laparoscopic Hernia Repair

Over the last 25 years our practice in Long Beach, CA has evolved from open surgery to laparoscopic and robotic hernia repair.  While open surgery is the natural approach in which the surgeon's eyes and hands are aligned with his view of the surgical site, it has the disadvantage of making a larger incision and cutting through the muscles which are responsible for higher incidence of wound infection, with an early onset and chronic post-operative pain after hernia surgery.

Laparoscopic hernia surgery improve post-operative pain and wound infection by making very small incisions and by avoiding cutting through the muscle, however in performing laparoscopic hernia surgery, the surgeon looks at a monitor which is not aligned with his/her her hands, making this an unnatural setting.

Robotic hernia surgery is a minimally invasive approach that combines the benefits of both open and laparoscopic techniques in addition to its high precision miniature instruments and high definition 3D camera.  The surgeon controls the instruments and camera from a console located in the operating room, from which he is able to operate all four arms of the robot simultaneously while looking through a stereoscopic high definition monitor.  Every movement he makes with the master controls is replicated precisely by the robot.   The console’s design align the surgeon’s eyes and hands along with his view of the surgical site.

The addition of robotic assisted hernia surgery to our practice has greatly enhanced the outcome for our patient's post operative discomfort, which promote return to work and regular physical activities shortly after the surgery.  We provide hernia repair surgery at Long Beach, Tustin, and Fullerton.

Benefits of robotic assisted minimally invasive surgery

● Less trauma to the body

● Minimal scarring

● Faster recovery time

● Less postoperative pain and reduction in the need for pain medication

● Quicker return to tolerating a normal diet

● Earlier return to daily activities

● Improved cosmetic results

Robotic arms and instruments

When performing surgery with the da Vinci surgical platform, the world’s most advanced surgical robot, the instruments are mounted on separate robotic arms, providing the surgeon maximum range of motion and precision.  The da Vinci’s camera arm contains a magnified high-definition 3D-camera that guides the surgeon during the procedure.

Robotic Console

The surgeon controls these instruments and the camera from a console located in the operating room, from which he is able to operate all four arms of the da Vinci simultaneously while looking through a stereoscopic high definition monitor.  Every movement he makes with the master controls is replicated precisely by the robot.  Because of the console’s design, the surgeon’s eyes and hands are always perfectly aligned with his view of the surgical site, thus minimizing surgeon fatigue.  This setup also gives him a better, more detailed 3D view of the operating site than the human eye can provide.