Robotic Fundoplication with Mesh

Robotic fundoplication with mesh reinforcement for hiatal hernia.

Robotic fundoplication with mesh reinforcement is an advanced minimally invasive procedure for the treatment of symptomatic hiatal hernia and gastroesophageal reflux disease (GERD).

Using the robotic platform, precise dissection of the esophageal hiatus is performed with meticulous mediastinal mobilization of the esophagus to achieve adequate intra-abdominal length. The crura are approximated posteriorly with non-absorbable sutures, and prosthetic or biologic mesh reinforcement is applied in selected cases - particularly large paraesophageal hernias or attenuated crura - to reduce recurrence risk.

A tailored fundoplication (commonly 360° Nissen or partial wrap depending on esophageal motility) is then constructed around the distal esophagus to restore the anti-reflux barrier.

The robotic system enhances dexterity, depth perception, and suturing precision, facilitating complex hiatal reconstruction while maintaining the benefits of minimally invasive surgery: reduced postoperative pain, shorter hospital stay, and faster recovery.