Robotic Surgery Proves Safe and Effective for Complex Abdominal Hernias

Researchers from Israel's Hebrew University of Jerusalem and Tel Aviv University have demonstrated the safety and effectiveness of robotic surgery for treating complex lateral abdominal hernias, which are traditionally challenging to address surgically. These hernias occur on the side of the abdomen, often at the site of previous surgical scars, and their location near ribs, the pelvis, major blood vessels, and nerves severely limits a surgeon's maneuverability. Traditional open surgery requires large incisions and leads to long recovery times, while standard laparoscopy, using small incisions, lacks the flexibility of rigid instruments for complex angles. The new study, published in the journal *Hernia*, analyzed 39 robotic surgeries performed between 2018 and 2025. All procedures were successfully completed robotically, without conversion to open surgery or traditional laparoscopy. The robotic system's instruments, mimicking wrist movements, and high-definition 3D visualization enabled precise defect closure and mesh placement. Most patients were discharged the day after surgery. Over an average follow-up of 14 months, no hernia recurrences were reported. Patients experienced minimal pain and rapid recovery, with minor complications being successfully managed. Co-author Dr. Michael Freund stated that robotic technology expands surgical capabilities through small incisions, allowing access to difficult abdominal wall areas with remarkable precision and changing the approach to traditionally complex operations.