Description

The management of inguinal hernia has evolved significantly with the advancement of minimally invasive and robotic-assisted surgical techniques. At World Laparoscopy Hospital (WLH), the robotic approach to right direct inguinal hernia repair using the Transabdominal Preperitoneal (TAPP) technique represents a refined, precise, and patient-centered method that combines surgical expertise with cutting-edge technology. A right direct inguinal hernia occurs due to weakness in the posterior wall of the inguinal canal, allowing abdominal contents to protrude medially through Hesselbach’s triangle. Traditional open and laparoscopic methods have been effective; however, robotic-assisted TAPP repair offers enhanced visualization, superior dexterity, and greater ergonomic comfort for the surgeon. These advantages translate into meticulous dissection, accurate mesh placement, and improved clinical outcomes. The robotic TAPP procedure at WLH begins with proper patient positioning and establishment of pneumoperitoneum, followed by precise port placement under direct vision. The robotic system provides high-definition three-dimensional magnification, enabling clear identification of anatomical landmarks such as the inferior epigastric vessels, Cooper’s ligament, and the hernia defect. The peritoneum is incised carefully, and a preperitoneal flap is created to expose the direct hernia sac. Gentle and controlled dissection allows reduction of the hernia contents while preserving surrounding nerves and vessels. Once adequate preperitoneal space is developed, a suitable mesh is introduced and positioned to cover the myopectineal orifice completely. The robotic platform facilitates accurate mesh placement with minimal fixation, reducing the risk of chronic postoperative pain. The peritoneal flap is then closed using fine suturing techniques, restoring normal anatomy and ensuring complete coverage of the mesh. The robotic TAPP repair of right direct inguinal hernia at WLH is associated with reduced postoperative pain, minimal blood loss, faster recovery, and early return to daily activities. This advanced approach reflects WLH’s commitment to excellence in minimally invasive and robotic surgery, offering patients safe, effective, and technologically advanced hernia management with consistently favorable outcomes.