Abdominal wall reconstruction and hernia surgery represent a central area of expertise at Geneva Surgery.
The abdominal wall plays an essential functional role in posture, breathing, trunk stability, load transmission and movement. It forms part of an integrated mechanical system involving the diaphragm, spine, pelvis and surrounding musculature.
Hernias and diastasis recti may therefore affect not only local anatomy, but also abdominal wall function. Surgical reconstruction aims to restore anatomical integrity while preserving or improving functional stability and coherent abdominal mechanics.
The full spectrum of abdominal wall conditions is managed, including primary hernias, incisional hernias, large and giant hernias, complex or recurrent defects, and diastasis recti.
Each situation is assessed individually, integrating detailed anatomical analysis, symptoms, previous surgery, functional impact and patient-specific factors in order to define the most appropriate reconstructive strategy.
Robotic surgery is integrated into abdominal wall reconstruction whenever it contributes to greater anatomical precision, controlled dissection within the appropriate tissue planes and high-quality sutured reconstruction.
Its value is particularly relevant when access to extraperitoneal planes, complex anatomy or advanced reconstruction requires precise and reproducible surgical control.
Long-standing experience with robotic surgery has contributed to the development and refinement of contemporary approaches to midline reconstruction, including the Inan inverting plication, a named plication technique developed within this practice and shared through international teaching, training courses and academic contributions.
The indication for surgery is individualised.
It is based on the type and anatomy of the hernia, symptoms, functional impact, progression, previous surgery and the patient’s overall clinical profile.
Treatment options, expected benefits and residual risks are discussed in clear and neutral terms, allowing informed decisions based on realistic and durable outcomes.
When prosthetic reinforcement is indicated, the mesh is selected and positioned according to the anatomical and clinical situation, with preference for a well-protected anatomical plane whenever appropriate.
The objective is to achieve durable reinforcement while limiting unnecessary surgical trauma and avoiding aggressive fixation whenever possible.
Particular attention is given to mesh positioning, tissue coverage and long-term integration.
The aim is not simply to close a defect, but to restore a strong abdominal wall while preserving its dynamic and functional role.
Selected hernia repair procedures are illustrated through surgical educational videos on the Geneva Surgery YouTube channel.
These materials are intended for professional surgical education and complement clinical information, but do not replace individual medical consultation or patient-specific clinical evaluation.
Visit the Geneva Surgery YouTube channel for surgical educational videos related to hernia and abdominal wall surgery.