# Utilization of an Umbilical Hernia as a Camera Port in Robot-Assisted Total Hysterectomy: A Case Report

## TL;DR

A case report shows using an umbilical hernia as a camera port during robot-assisted hysterectomy is technically feasible.

## Contribution

This is the first reported use of an umbilical hernia as a camera port in robotic surgery.

## Key findings

- An umbilical hernia was successfully used as a camera port in a robot-assisted total hysterectomy.
- The procedure was completed safely, followed by hernia repair.
- Postoperative monitoring is needed due to the risk of hernia recurrence without mesh repair.

## 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.