Recurrent Inguinal Hernia Treated with Robotic Surgery in Brașov

A 64-year-old patient from Sfântu Gheorghe, with a history of three previous open surgeries for left inguinal hernia repair, presented on March 24 at the ProVitam Polyclinic for evaluation of a complex recurrent hernia. The hernia sac contained the sigmoid colon and was difficult to reduce.

Following clinical and imaging assessment, a robotic transperitoneal approach was indicated— a modern, minimally invasive technique offering significant benefits for the patient.

The surgical procedure was performed on April 4 at Sf. Constantin Hospital in Brașov, under general anesthesia, with a duration of approximately 45 minutes. During the intervention, a Medtronic Tect ADP2 mesh was used, providing optimal coverage of the defect and significantly reducing the risk of recurrence.

A major advantage of robotic surgery is the fixation of the mesh using sutures to the musculature, which contributes to reduced postoperative pain compared to the use of absorbable or non-absorbable tacks.

The postoperative course was favorable, and the patient was discharged 24 hours after surgery, fully ambulatory and independent.

Robotic surgery represents a modern and effective solution for recurrent hernias, offering enhanced precision, faster recovery, and a lower risk of complications or recurrence.