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Robotic inguinal hernia repair is one of the fastest growing surgical procedures in the United States. Many hospitals and surgeons are offering it as a high-tech option for hernia patients. But is it really the best choice for long-term health? In this video, Dr. Michael Reinhorn reviews the latest research and shares an honest analysis of robotic hernia surgery — looking at what works, what doesn’t, and what patients need to know before making a decision. One of the main reasons robotic hernia repair became popular is because of its advanced technology. The robot provides excellent visibility inside the abdomen and allows the surgeon to move with precision. On the surface, it seems like an obvious improvement. The operation is labeled as “minimally invasive,” and recovery often looks similar to traditional open surgery in the short term. However, there’s a major problem that doesn’t get enough attention. To perform robotic hernia surgery, several small holes are made in the abdominal wall for the camera and tools. These holes — called trocar sites — are not always closed securely. Over time, they can turn into weak spots. For some patients, these weak spots become brand-new hernias, known as trocar site hernias. In other words, the surgery meant to fix a hernia can actually create new ones. The long-term data is concerning. A study following 560 patients found that more than 25% developed another hernia after robotic repair. Most were trocar site hernias, but about 10% were true recurrent groin hernias. At seven years, nearly 9% had recurrences. These numbers are much higher than what we see after open repairs, where recurrence rates are generally far lower. Equally important is the cost. Robotic hernia repair is about twice as expensive as open surgery, yet the outcomes are not better. In fact, the evidence shows worse long-term durability. This raises important questions about whether patients are really benefiting from this expensive, high-tech approach. So what are the alternatives? Registry studies from the Abdominal Core Health Quality Collaborative (ACHQC) show that open preperitoneal repairs (TREPP/OPP) and Shouldice repairs often provide better patient-reported outcomes than older techniques like the Lichtenstein repair. Patients who undergo these approaches frequently report less pain, fewer complications, and quicker recovery. In many cases, these options offer better value and better quality of life than robotic repair. The bottom line: robotic hernia surgery may look futuristic, but the risks outweigh the benefits for many patients. While the robot has clear advantages in some areas of surgery, inguinal hernia repair is not one of them. Patients deserve to know the long-term results, the potential complications, and the true costs before deciding. If you are facing hernia surgery, make sure to have an open conversation with your surgeon about all of your options. Ask about open preperitoneal repair, laparoscopic repair, and tissue-based techniques like Shouldice. Understanding the pros and cons of each approach can help you make the safest and most informed decision for your health. Keywords: robotic inguinal hernia repair robotic hernia surgery risks trocar site hernia robotic hernia recurrence robotic vs open hernia repair robotic vs laparoscopic hernia repair open preperitoneal hernia repair (TREPP/OPP) Shouldice hernia repair Lichtenstein vs Shouldice vs OPP ACHQC hernia registry best hernia repair technique cost of robotic hernia repair minimally invasive hernia surgery robotic hernia repair complications hernia surgery recovery options #Hernia #RoboticSurgery #InguinalHernia #HerniaRepair #RoboticHerniaRepair #TrocarSiteHernia #HerniaAwareness #MinimallyInvasiveSurgery #Shouldice #Lichtenstein #OpenPreperitoneal #HerniaCare