Why Open Preperitoneal Hernia Repair Is Better Than Robotic Surgery
Need hernia surgery? Your doctor may tell you about robotic or laparoscopic hernia repair. But there’s another option you should know about: open preperitoneal hernia repair.
At Boston Hernia, we believe this method is safer, faster, and has fewer problems. Here’s why many people in Boston are choosing open preperitoneal repair instead of robotic surgery.
🔍 What Is Open Preperitoneal Hernia Repair?
This type of hernia surgery puts the mesh behind the muscle but in front of the belly lining (peritoneum). We make one small incision and stay outside the belly cavity.
Robotic surgery usually goes inside the belly cavity using gas and multiple ports.
Staying out of the belly cavity = fewer problems.
⛑️ Fewer Problems After Surgery
Here’s how open preperitoneal repair (OPP) compares to robotic hernia surgery:
| Feature | OPP | Robot |
|---|---|---|
| Bowel Injury | Almost no risk | Higher risk |
| Unplanned Hospital Stay | 0.2% | 5% (pain, nausea, urinary retention) |
| Urinary Retention | 0.5% | 2–15% (may need catheter) |
| Port Site Hernias | No risk | 5% (due to poor port closure) |
| Surgery Time | 45 minutes | 2–2.5 hours |
| Recovery Time | Faster return to work | Longer recovery |
💉 Local Anesthesia = Easier on You
Robotic surgery uses general anesthesia. That means:
- You’re completely asleep
- You need a breathing tube
- Your muscles are paralyzed
We use local anesthesia with IV sedation. That means:
- No breathing tube
- You wake up faster
- Less risk and fewer side effects
🔧 One Cut, One Mesh, No Gas
With open preperitoneal repair:
- Only one incision
- We place the mesh exactly where it’s needed
- No gas is used inside your belly
This means a strong repair with fewer complications.
📉 Better Results, Less Pain
Our results speak for themselves:
- Risk of recurrence: Less than 1%
- Chronic pain: Only 0.03%
- Less use of opioids: 91% of our patients don’t need them
These numbers are much better than what you get with robotic or traditional hernia surgery.
💬 Why Boston Hernia Chooses Open Repair
We’re not just guessing. We’ve done the research, and we’ve seen the results.
At Boston Hernia:
- Each surgeon does about 500 hernia repairs per year
- We keep our surgeries efficient, safe, and cost-effective
- Our open preperitoneal technique is used in most of our repairs for a reason—it works
✅ Don’t settle for longer surgery, more risk, and higher cost. Choose a method that puts you first.
Schedule your consultation today and get back to life faster!
About us.
We are a small, independent, private, physician and physician assistant-owned practice. This means that we don’t work for an insurance company or a giant health care system. It allows us to make independent care decisions for our patients that is not influenced by external forces. We offered a tailored approach to each patient, meeting them where they are. This means that we can treat 95% of the patients we see, while referring about 5% of our patients out to hospital-based physicians.
Tags: #HerniaRepair #OpenPreperitonealRepair #HerniaSurgery #GroinPain #HerniaSpecialist #MinimallyInvasive #BostonHernia #LocalAnesthesia #FasterRecovery