664 Robotic Repair of Midline Abdominal Wall Hernia and Divarication of Recti: A Video Presentation

Dr. Omar Eldeeb

Problem: Midline abdominal wall hernia associated with divarication of recti is a challenging condition, often resulting in abdominal bulging, functional weakness, and poor cosmesis. Traditional open repair is invasive and associated with wound morbidity, while laparoscopic repair has limitations in performing effective midline reconstruction and rectus plication. Solution: We performed a robotic repair involving intraperitoneal mesh placement for hernia closure combined with plication of the rectus sheath to correct the divarication. The robotic platform allowed precise dissection, tension-free hernia repair, and meticulous intracorporeal suturing for midline restoration. Innovation: This case demonstrates how robotics can overcome the limitations of conventional approaches by enabling accurate hernia closure and simultaneous anatomical correction of rectus divarication through a minimally invasive technique, achieving excellent functional and cosmetic outcomes with no complications.
Procedure Innovation, General Surgery, Abdominal Hernia, ICG Green

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