Which is better, robotic or laparoscopic inguinal hernia repair?

In this Part Two episode, Dr. Randy Lehman is joined again by Dr. Amy Vertrees, founder of the BOSS Business of Surgery Series and a career coach for surgeons, for an in-depth technical breakdown of both approaches.

They compare every step of the operation, from port placement and mesh selection to managing seromas and preventing recurrence. You’ll hear practical pearls on landmark-based dissection, handling intraoperative bleeding, and the subtle but meaningful advantages of robotic tools.

This episode zeroes in on the practical decision making behind robotic and laparoscopic hernia repair, highlighting how small technical choices can have outsized effects on outcomes.

0:00 Intro

0:40 Laparoscopic vs. Robotic TAPP

3:37 Port Placement Strategies & Access Tips

5:34 Mesh Types, Fixation Methods & Cost Considerations

9:38 Landmark-Based Dissection Tips

16:06 Managing Bleeding Near Cooper's & Iliac Vessels

21:38 Mesh Orientation & Securing Techniques

24:08 Peritoneal Closure & Tack Pitfalls

27:09 Post-op Seroma Management

28:05 Managing Massive Hernias

37:13 Financial Corner

39:58 Classic Rural Surgery Stories

47:11 Resources for the Busy Rural Surgeon

Resources Mentioned:

Connect with Dr. Vertrees:

https://www.bosssurgery.com/

🎙️ BOSS Business of Surgery Podcast:

https://www.bosssurgery.com/podcasts/boss-business-of-surgery-series

🌐 Connect with The Rural American Surgeon:

https://www.youtube.com/@ruralAmericanSurgeon

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