Peer-reviewed veterinary case report
Using an umbilical hernia as a camera port in robotic hysterectomy
By Wakisaka S et al.·2026·Seirei Hamamatsu General Hospital·View original on Europe PMC →
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Original publication title: Utilization of an Umbilical Hernia as a Camera Port in Robot-Assisted Total Hysterectomy: A Case Report.
Plain-English summary
This case describes a 43-year-old woman who was overweight and had a condition called atypical endometrial hyperplasia, which is an abnormal thickening of the uterine lining. She also had an umbilical hernia, which is when tissue pushes through the abdominal wall near the belly button. During her surgery to remove her uterus using robotic assistance, the doctors used the hernia as a place to insert a camera, which is a unique approach. After the surgery, they repaired the hernia, but they noted that careful monitoring is important afterward because there is a chance the hernia could come back if not properly fixed with mesh. Overall, the surgery was completed safely, and the method of using the hernia as a camera port was successful.
Abstract
We report a case of robot-assisted total hysterectomy in which an umbilical hernia was utilized as the camera port. A 43-year-old obese woman with atypical endometrial hyperplasia and an incidental umbilical hernia underwent surgery. After resection of omental contents from the hernia sac, a balloon trocar was placed in the umbilicus and used as a camera port. The hysterectomy was safely completed, and hernia repair followed. To our knowledge, only limited reports have described this approach in robotic surgery. This case highlights the technical feasibility of using an umbilical hernia for robotic port placement, though careful postoperative monitoring is warranted due to the risk of recurrence without mesh repair.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41755944