This educational surgical video demonstrates the robotic repair of incisional hernia, presented in a clear step-by-step technique by Dr. R. K. Mishra at World Laparoscopy Hospital (WLH). The video highlights key principles of minimal access surgery, including port placement, dissection, mesh positioning, and defect closure using robotic technology.

Incisional hernia is a common complication following abdominal surgery, occurring due to weakness in the surgical scar and surrounding abdominal wall. With advancements in minimal access surgery, robotic repair of incisional hernia has emerged as a highly effective and patient-friendly technique. At World Laparoscopy Hospital, robotic technology is integrated with standardized surgical principles to deliver precise, safe, and reproducible hernia repairs.

Robotic repair of incisional hernia combines the advantages of laparoscopy with enhanced dexterity, three-dimensional visualization, and superior ergonomics. The robotic platform allows the surgeon to perform meticulous dissection, accurate defect closure, and precise mesh placement, even in complex or recurrent hernias. The step-by-step technique begins with optimal patient positioning and port placement, ensuring adequate access to the hernia defect. Pneumoperitoneum is created, followed by careful adhesiolysis to free the hernia sac and surrounding tissues while minimizing the risk of bowel injury.

Once the hernia contents are reduced, the defect is clearly delineated and closed using intracorporeal suturing with robotic assistance. This primary fascial closure is a key advantage of robotic surgery, as it restores the anatomy and reduces tension on the mesh. A suitable prosthetic mesh is then introduced and positioned with adequate overlap to reinforce the abdominal wall. Robotic suturing or fixation ensures secure mesh placement with minimal trauma to surrounding structures.

The minimal access nature of robotic hernia repair results in smaller incisions, reduced postoperative pain, minimal blood loss, and faster recovery compared to open surgery. Patients typically experience shorter hospital stays and an earlier return to normal activities. Additionally, the precision of robotic surgery contributes to lower recurrence rates and improved cosmetic outcomes.

At World Laparoscopy Hospital, robotic repair of incisional hernia is not only a clinical procedure but also a structured teaching module. Surgeons are trained through step-by-step demonstrations, emphasizing anatomy, ergonomics, and safety protocols. This approach ensures consistent surgical outcomes while promoting excellence in minimally invasive and robotic surgery.

In conclusion, robotic repair of incisional hernia represents a significant advancement in minimal access surgery. Through a systematic step-by-step technique and expert execution at World Laparoscopy Hospital, this approach offers an optimal balance of safety, effectiveness, and patient satisfaction, setting new standards in modern hernia surgery.