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Surgeons have shown that robotic technology can help repair a rare and difficult type of hernia that develops along the side of the abdomen. These hernias are hard to treat because they form near the ribs, pelvis, muscles, nerves and blood vessels.

In a new study published in Hernia, researchers examined 39 robotic hernia repairs performed between 2018 and 2025.

"Robotic technology is changing the boundaries of what surgeons can do through small incisions," said Dr. Freund. "In this case, it allowed us to reach one of the most unforgiving parts of the abdominal wall, an area surrounded by bone, muscle, nerves and blood vessels, and rebuild the abdominal wall with remarkable precision. It transforms how we can approach an operation that has traditionally been exceptionally difficult."

The study was led by Freund of the Hebrew University and Shaare Zedek Medical Center under the guidance of professor David Hazzan of Raphael Hospital in collaboration with Sheba Medical Center and Tel Aviv University.

A hernia occurs when tissue or part of an organ pushes through a weak area in the abdominal wall. Lateral abdominal wall hernias form along the side of the body, rather than in the groin or middle of the abdomen.

Their location gives surgeons little room to work or position the mesh used to strengthen the abdominal wall. Previous operations can make the repair even harder by leaving scar tissue and changing the normal anatomy.

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