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Inguinal Hernia

Procedure overview

Inguinal hernia repair, herniorrhaphy or hernioplasty, is a common surgical procedure. There are 3 types of inguinal hernia repair; open, Laparoscopic, and robotic.[1]

An open procedure consists of an incision, or cut, that is made in the groin. The surgeon then pushes the hernia back into the abdomen and strengthens the abdominal wall with mesh and stitches. This surgery may be done under local anesthesia for the abdominal area, or general anesthesia in which you will be put to sleep.[1]

A laparoscopic hernia repair is a less invasive surgical procedure in which the surgeon makes small, half-inch cuts in the lower abdomen and inserts a laparoscope (a thin tube with a tiny video camera attached). The laparoscope sends images to a video monitor and the surgeon to repairs the hernia through the small incisions.[1]

A robotic hernia repair is like laparoscopic surgery. Robotic surgery uses a laparoscope, and is performed in the same manner (small incisions, a tiny camera and projecting the inside of the abdomen onto television screens).[1]

Robotic surgery is different from laparoscopic surgery in that the surgeon is seated at a console while handling the surgical instruments.

Figure 1. Laparoscopic vs Robotic Insertion points

Learn more about what robotic assisted surgery is and how surgeons use the technology here.


Potential Benefits​

Reported benefits of robot assisted inguinal hernia repair include:

  • Patients who had an inguinal hernia repair with da Vinci had a lower rate of complications after surgery from the time they left the hospital through 30 days after surgery compared with patients who had an open procedure.[5]
  • Although fewer than 1 in 10 inguinal hernia repairs requires an admission to the hospital, called an inpatient stay, patients who had an inguinal hernia repair with da Vinci technology stayed in the hospital as an inpatient for a shorter amount of time than patients with similar characteristics who had an open procedure.[5]

Additional Patient Resources

Visit the Canadian Hernia Society for more information including frequently asked questions, how to prepare for surgery and what to expect after surgery.

Canadian Hernia Society for Patients  

Educational Videos

Minimally invasive hernia repair with the da Vinci Surgical System involves less pain, less blood loss and helps patients get back to their lives faster.

Risks & Considerations

 Not everyone is a candidate for robotic assisted procedures, and other treatment options may be available and appropriate. Only a doctor can determine whether robotic assisted surgery is appropriate for a patient’s situation. Surgery of any form contains risks and it is important to discuss risks with your provider. Patients and doctors should review all available information on both non-surgical and surgical options in order to make an informed decision. 

Patients have also developed support areas where they are able to speak with each other about the surgery, their experiences, and any issues that they have faced during their treatment. To learn more check out the additional resources above or visit the community section of this website. 

[1] https://my.clevelandclinic.org/health/diseases/16266-inguinal-hernia/management-and-treatment
[2] Supporting data includes data from a retrospective, multi-center, non-randomized controlled clinical study evaluating the use of the da Vinci Surgical System in Inguinal Hernia Repair procedures compared with open surgical procedures.