Description

Watch this detailed video of robotic hiatal hernia repair with mesh reinforcement and fundoplication performed at World Laparoscopy Hospital. This advanced minimally invasive surgical procedure demonstrates the use of robotic technology to address a hiatal hernia while restoring the anatomy of the gastroesophageal junction and reinforcing the diaphragmatic hiatus. Hiatal hernia occurs when part of the stomach moves upward through the opening in the diaphragm where the esophagus passes into the abdomen. Depending on the severity of the hernia and associated symptoms, patients may experience gastroesophageal reflux, heartburn, regurgitation, chest or upper abdominal discomfort, difficulty swallowing, or other digestive symptoms. Surgical repair may be considered in appropriately selected patients, particularly when symptoms persist or when anatomical correction is required. In this robotic surgery video, the operative approach highlights important steps involved in hiatal hernia repair. Robotic instruments provide enhanced visualization and precise movement within the confined upper abdominal surgical field. The hernia is carefully addressed, the anatomy around the esophageal hiatus is identified, and the diaphragmatic crura are approximated to restore the normal configuration of the hiatus. The video also demonstrates mesh reinforcement, which may be used in selected cases to strengthen the repaired hiatal area. Proper placement and fixation of reinforcement require careful attention to surrounding structures and surgical anatomy. The procedure is followed by fundoplication, in which the upper portion of the stomach is positioned around the lower esophagus to help recreate the antireflux mechanism. This educational surgical video is particularly useful for surgeons, gynecologists, surgical trainees, fellows, and medical professionals interested in robotic gastrointestinal surgery, foregut surgery, hiatal hernia repair, fundoplication, and minimally invasive surgical techniques. World Laparoscopy Hospital provides advanced surgical training and educational opportunities for medical professionals interested in laparoscopic and robotic surgery. This video offers an opportunity to observe operative anatomy, surgical technique, robotic instrument handling, and the principles involved in complex minimally invasive procedures.