Open, Laparoscopic and Robotic Hernia Repair: How Treatment Has Evolved
The treatment of inguinal hernias has changed significantly over time.
What was once exclusively an open surgical procedure can now be treated using several approaches, including laparoscopic and robotic-assisted surgery.
A systematic review published in the Journal of Clinical Medicine in 2025 examined open, laparoscopic and robotic approaches, highlighting the continued evolution of groin hernia management. Read More
Open Hernia Repair
Open repair involves making an incision in the groin to access the hernia directly. The weakened area can then be repaired and commonly reinforced using surgical mesh.
Open repair remains a well-established treatment performed around the world.
Laparoscopic Hernia Repair
Laparoscopic surgery introduced a less invasive alternative.
Rather than one larger incision, the surgeon operates through smaller access points using specialist instruments and a camera.
The development demonstrated an important principle: major procedures do not always require major incisions.
Robotic Hernia Repair
Robotic-assisted surgery represents another technological development.
It provides surgeons with specialised instruments and enhanced visualisation while following many of the principles associated with minimally invasive laparoscopic surgery.
Research continues into the comparative outcomes and cost implications of robotic and laparoscopic approaches. Read More
What Comes Next?
PerQHern is exploring another potential step in this evolution: percutaneous inguinal hernia repair.
The PerQHern system is being developed to allow clinicians to access and repair an inguinal hernia without conventional surgical incisions.
From open surgery to keyhole techniques and increasingly sophisticated medical devices, the history of hernia treatment demonstrates a continuous search for better ways of treating patients.
PerQHern aims to contribute to the next chapter of that story.
