Robotic-Assisted Abdominal Wall Hernia Repair

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Published on April 12, 2017

Robotic-Assisted Abdominal Wall Hernia Repair

Peter Wilson, MD

Dr. Peter Wilson, Concord Surgical Associates

In 2016, robotic-assisted surgery became the latest treatment option for Concord Hospital abdominal wall hernia patients, providing enhanced hernia repair that combines the latest technology with two traditional techniques designed for a less complicated recovery and less chance that the condition will recur. Providing the procedure at Concord Hospital offers patients from central New Hampshire a valuable treatment option closer to home.

A hernia is a defect, or hole, generally in the abdominal wall — the muscles and tissue that hold organs such as the stomach and intestines inside the abdomen. The abdominal wall can weaken with age or because of poor nutrition, obesity, smoking, injuries and previous surgeries. Once weakened, a hole can develop, and fatty tissue or the intestine can be forced out.

Generally, there are three ways to repair a hernia: closing the hole by suturing, or sewing, the edges together; using a polypropylene, or plastic, mesh to patch the hole without closing it; and closing the hole and adding a mesh patch to reinforce the abdominal wall.

Dr. Peter Wilson of Concord Hospital Medical Group Concord Surgical Associates said robotic-assisted surgery provides the best of the procedures, allowing him to precisely maneuver instruments through small incisions to close the hole, place a mesh patch over it and cover the patch with a layer of the abdominal wall to protect it from contact from other tissue or organs in the abdomen. Robotic technology allows repair of abdominal hernias to be done with far greater ease and precision than with traditional open or
laparoscopic methods.

Dr. Wilson said the procedure is a good application for patients whose hernias arise in incisions from previous abdominal surgeries. Obese patients, or patients in poor physical shape, frequently experience such hernias, which are on the increase.

Most of Dr. Wilson’s patients go home on the same day as surgery.

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