Is minimally invasive hernia repair the same as robotic hernia repair?

Many patients are unsure whether minimally invasive hernia repair and robotic hernia repair refer to the same technique. Dr. Iskandar often explains that robotic repair is one option within the broader category of minimally invasive methods, but it is not the only one. Understanding the differences helps patients choose an approach that matches their hernia type, goals, and comfort level. This guide breaks down how each method works and what sets them apart so patients can make informed decisions.

What does minimally invasive hernia repair include?

Minimally invasive hernia repair includes two primary approaches: laparoscopic repair and robotic repair. Dr. Iskandar recommends minimally invasive surgery (laparoscopic or robotic) whenever it is safe and appropriate because it reduces trauma to the abdominal wall and surrounding skeletal muscle, leading to less pain, quicker healing, and fewer scar-related issues. Both laparoscopic and robotic techniques fall under a minimally invasive procedure because they use small incisions and reduce tissue disruption compared to open surgery. Once these two methods are understood, other variations can be discussed based on a patient’s specific needs, but laparoscopic and robotic repairs remain the main techniques used across the United States.

• Laparoscopic hernia repair: This method uses laparoscopy, meaning a small camera and long instruments are placed through three to five tiny incisions. The surgeon stands at the bedside and operates while viewing a 2D screen. It is widely used across the United States and remains a reliable choice for many types of hernias.
• Robotic hernia repair: This uses robotics to enhance the surgeon’s visualization and instrument precision.
• Endoscopic totally extraperitoneal (TEP) repair: This is performed behind the abdominal wall without entering the main cavity of the abdomen. It is often used for groin-based hernias such as an inguinal hernia.

All of these approaches fall under minimally invasive surgery because they reduce tissue disruption, minimize infection risk, support overall health, and allow many patients to return to normal activity sooner with less discomfort compared to open surgery.

How is robotic hernia repair different from other minimally invasive options?

Robotic hernia repair is a specific form of minimally invasive surgery that uses advanced technology to give the surgeon improved access and precision. Dr. Iskandar performs the operation from a console, directing robotic arms that hold the camera and instruments. This setup allows a magnified 3D view and greater instrument flexibility.

Key differences from standard laparoscopic surgery include:

• The surgeon operates from a console instead of standing at the table.
• The robotic camera provides high-definition, 3D visualization.
• Robotic instruments have wrist-like movements that help in tight spaces.
• Robotics allow for more controlled placement of surgical mesh and careful handling of the abdominal wall.

Because of these capabilities, robotic repair is especially helpful for large ventral hernias, recurrent hernias, and complex cases where precision matters. Dr. Iskandar may recommend robotic repair when these advantages contribute to a stronger, safer repair.

Experience renowned expertise and unparalleled compassion from the leader in hernia repair.

Schedule Now >

Are outcomes similar between robotic and other minimally invasive repairs?

For most straightforward hernias, such as a routine inguinal hernia, robotic and laparoscopic techniques produce similar outcomes. Current research shows no major differences in long-term recurrence, strength of repair, or signs and symptoms during recovery for simple cases. This gives patients confidence that either option can work well when matched to the right situation. What really matters in this situation is the surgeon’s experience and comfort level with a particular approach.

However, some practical differences exist:

• Operative time: Robotic surgery can take longer due to equipment setup.
• Cost: Hospitals offering robotic systems may have higher procedural expenses.
• Recovery: Both approaches typically allow faster recovery than open surgery. Some patients with complex hernias may experience slightly less immediate postoperative pain with robotic surgery, although this varies.

For larger or more challenging hernias, robotic surgery may provide advantages in closing defects, reinforcing the abdominal wall, and managing scar tissue from prior operations. Dr. Iskandar evaluates each patient individually to determine which minimally invasive surgery approach is most appropriate.

When is one approach preferred over the other?

Choosing between robotic and laparoscopic minimally invasive surgery depends on several factors, including hernia type, the patient’s anatomy, and the complexity of the repair.

Key considerations include:

• Hernia complexity: A simple inguinal hernia often responds well to laparoscopic repair, while large or recurrent hernias may benefit from robotic precision.
• Surgeon experience and hospital resources: Outcomes depend heavily on the surgeon’s skill with each technique. Not every hospital has robotic systems, and surgeon expertise plays a major role in recommending the right approach.
• Patient-specific factors: Previous abdominal operations, scar tissue, medical conditions, and anesthesia needs all influence which method is safest.

Robotic surgery is a valuable tool, but it is not necessary for every case. Dr. Iskandar’s goal is to match each patient with the approach that provides the best balance of safety, durability, and recovery.

What should patients consider when choosing between these approaches?

Patients deciding between minimally invasive surgery options should focus on the factors that affect long-term success, safety, and quality of life. Dr. Iskandar helps patients understand how each technique supports a durable repair, minimizes infection risk, protects the organ structures involved, and encourages smooth healing.

Patients may want to discuss:

• Whether robotics provide meaningful advantages for their hernia.
• How past abdominal surgeries might influence access and mesh placement.
• Their recovery goals and how quickly they hope to return to work or activity.
• Imaging findings that affect how the abdominal wall should be reinforced.

A clear conversation allows patients to feel confident and prepared for surgery.

Take the Next Step Toward Answers and Relief

Minimally invasive and robotic hernia repairs both offer effective avenues for recovery, and choosing between them starts with understanding the strengths of each option. Dr. Iskandar combines advanced surgical skill with a compassionate, patient-centered approach to help people move forward with clarity and confidence. If you’re ready to learn which minimally invasive surgery approach is right for your situation, schedule a consultation with The Iskandar Complex Hernia Center today.

 

https://pmc.ncbi.nlm.nih.gov/articles/PMC9314304/
https://pmc.ncbi.nlm.nih.gov/articles/PMC9187240/

source https://iskandarcenter.com/hernia-surgery/is-minimally-invasive-hernia-repair-the-same-as-robotic-hernia-repair/