What is the best intervention for umbilical hernia and epigastric hernia
The non prosthetic interventions of the last century often and willingly hesitated in recidivism (the hernia reappeared immediately or after a few months), then from the 80s on with the first polypropylene meshes the problem of possible hernial recurrence was greatly reduced but the problem of extended surgical incision, the possible infection, stabilization and tolerability by the organism of the prosthetic foreign body remained.
Robotic surgery in umbilical hernia repair and epigastric hernia is currently the most advanced method, allowing the positioning of the mesh in a more stable and pain-free surface that is the pro-peritoneal area. In addition, the risk of infection is minimised by extremely restricted access points.
Finally, the repair of the umbilical and epigastric hernia done by robotics allows the simultaneous treatment of diastasis recti when present and thus makes the abdominal wall more stable by reconstructing its original anatomy.
Which are the best surgeons and centres to operate your umbilical hernia and epigastric hernia?
In Italy in any hospital there is an excellent level of preparation on traditional open-air surgery, as far as robotic surgery is concerned the big limit is the economical side. In fact, hernias are considered to be minor diseases and not worthy of such expenditure in our health system. Scientific results and international guidelines, on the other hand, are clearly in favour of the use of robotics, since the results are excellent and recovery is rapid.
The centres where the robotic surgery of umbilical hernia and epigastric hernia is routinely carried out in Italy are only those of first-rate private surgeons, where economic expenses can be secondary in favour of the best performing method.
Dr. Antonio Darecchio