
25/08/2025
First in Israel: Use of Extra-Large Meshes for Complex Abdominal Wall Hernia Repair with Robotic Assistance
The Galilee Medical Center has recently implemented, for the first time in Israel, the use of extra-large meshes for the treatment of complex abdominal wall hernias, performed via a robot-assisted minimally invasive approach.
The procedures, conducted with the da Vinci surgical system, involve abdominal wall reconstruction utilizing meshes of up to 50 x 50 cm in size. The mesh is positioned across the abdominal wall, reinforcing the defect and ensuring structural integrity, while gradually integrating and being absorbed by the body over time.
These operations are performed under the leadership of Dr. Eli Kakiashvili, Director of General Surgery Department A, and a pioneer in robotic surgery in Israel, in collaboration with Dr. Gregori Bougouslavski, applying the Transversus Abdominis Release (TAR) technique. TAR represents an advanced surgical method that enables the placement of large meshes in the retromuscular plane, posterior to the abdominal muscles. Historically, such extensive mesh placement was not feasible in open surgical approaches. Today, the integration of TAR with robotic technology allows for this advanced reconstruction to be performed with improved outcomes.
“Previously, complex hernia repairs were performed using open surgical techniques with large incisions, which were associated with higher perioperative risk and increased rates of post-operative complications,” noted Dr. Kakiashvili. “Robotic-assisted TAR provides superior precision, reduced complication rates, and accelerated post-operative recovery, both in the short and long term.”
This development marks a significant advancement in the surgical management of complex abdominal wall hernias in Israel and positions the Galilee Medical Center at the forefront of robotic hernia surgery.il