Peer-Reviewed Publication
Surg Endosc2026October 12, 2026Journal Article

Quantification of tension during cruroplasty of robotic-assisted hiatal hernia repairs using force feedback instruments on the da Vinci surgical platform (dV5).

Khang Ngo1, Marzieh Ershad Langroodi2, Prakash Gatta3
1University of North Texas Health Science Center - TCOM, Fort Worth, TX, USA. khangngo98@gmail.com.
2Intuitive Surgical, Inc., Sunnyvale, CA, USA.
3Department of Surgery, Texas Health Resources, Fort Worth, TX, USA.

Abstract

BACKGROUND: Tension-free crural closure is critical for durable hiatal hernia repair. Historically, quantifying crural closure tension (CCT) required workflow-disrupting external gauges. The da Vinci 5 (dV5) platform's integrated force feedback allows instantaneous, device-free tension monitoring. This study quantifies in vivo CCT during robotic hiatal hernia repair (RHHR) and introduces an explor…

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