Robotic-Assisted Repair of a Left Lower Quadrant Spigelian-Type Hernia

1. Introduction

2. Surgical Approach and CT Scan Analysis

3. Patient Preparation

4. Access to the Abdomen and Placement of Ports

5. Robot Docking

6. Preperitoneal Space Formation

7. Reduction of Partial-Thickness Spigelian Hernia Sac

8. Inguinal Dissection

9. Reduction of Indirect Inguinal Hernia Sac

10. Division of Round Ligament and Lipoma

11. Completion of Preperitoneal Pocket for Full Mesh Coverage

12. Primary Closure of Hernia Defect

13. Mesh Preparation and Repair of any Holes in the Preperitoneal Flap

14. Mesh Placement

15. Closure of Preperitoneal Flap

16. Robot Undocking

17. Closure

1. TAP Blocks

18. Post-op Remarks