[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]

Primary Fascial Closure During Robotic Incisional Hernia Repair

Most laparoscopic ventral hernia repairs are taught as bridged repairs, where surgical mesh spans an unclosed fascial defect, but bridged repair can result in poor abdominal wall function and reduced quality of life. This procedure video demonstrates a surgical technique for closing fascial defects underlying ventral hernias prior to mesh placement using a robotic approach. First, adhesions are lysed, the hernia is reduced, and abdominal pressure is reduced to 6 to 8 mm Hg. Smaller defects (patient 1) can be closed along the long axis using 0-barbed slowly absorbable suture run in a continuous manner along the whole length of the defect, then run back in the opposite direction to create overlap. For larger defects (patient 2, recurrent hernia), a second suture is used, usually in a caudal-to-cranial direction. Click the article link for a video illustrating a percutaneous technique and for a complete description of the surgical approach.

JN Learning™ is the home for CME and MOC from the JAMA Network. Search by specialty or US state and earn AMA PRA Category 1 CME Credit™ from articles, audio, Clinical Challenges and more. Learn more about CME/MOC

Name Your Search

Save Search

Lookup An Activity


My Saved Searches

You currently have no searches saved.

State Requirements