Robotic intraperitoneal hernia repair

Indications

All patients with incisional hernias are candidates for hernia repair with mesh. The eligibility for a minimally invasive hernia repair depends largely on the hernia width. In our practice, a hernia width of up to 7 cm measured preoperatively on computed tomography is considered eligible for a robotic ventral hernia repair with intraperitoneal mesh (rIPOM). In addition, as with other operations, a patient should be able to tolerate general anesthesia and have stable cardiovascular and pulmonary function. Patients with a hernia width greater than 7 cm with loss of domain, incarcerated or obstructed hernia, infected mesh, multiple previous abdominal operations, or enterocutaneous fistulas are usually offered other approaches at our practice.