OAGB + Hiatus Hernia Repair Robotic

Robotic revisional bariatric surgery: conversion of sleeve gastrectomy to OAGB with hiatal hernia repair.

This video demonstrates a robotic revisional bariatric procedure for a patient with previous sleeve gastrectomy and inadequate weight loss, associated with a hiatal hernia following the initial operation.

The procedure included robotic conversion to One-Anastomosis Gastric Bypass (OAGB) with hiatal hernia repair.

Revisional bariatric surgery can be technically demanding due to adhesions, altered anatomy, and distorted tissue planes. The robotic platform provides enhanced 3D visualization, improved ergonomics, tremor filtration, and precise instrument articulation, allowing safer dissection and better access to deep operative angles.

Key operative steps include adhesiolysis, identification of the sleeve anatomy, hiatal dissection, crural repair, gastric pouch creation, and construction of the gastrojejunostomy.

This case highlights the role of robotic surgery in complex revisional bariatric procedures, where precision, controlled dissection, and optimal exposure are essential for good surgical outcomes.

Procedure:

Robotic conversion of sleeve gastrectomy to OAGB + hiatal hernia repair

Indication:

Inadequate weight loss after sleeve gastrectomy with hiatal hernia

Platform: Robotic minimally invasive surgery