Evidence map›Paper›PMID 27495347›Full record

ArticleSurgical endoscopy2017

Robotic-assisted ventral hernia repair: a multicenter evaluation of clinical outcomes.

Anthony Gonzalez, Ernesto Escobar, Rey Romero, Gail Walker, Jacqueline Mejias, Michelle Gallas, Eugene Dickens, Christopher J Johnson, Jorge Rabaza, Omar Yusef Kudsi

Abstract readComparative StudyMulticenter Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 4 pooled it
13.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 4 syntheses or guidelines pooled it, 95 citations in OpenAlex.

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  13. Robotic-assisted surgical treatment of complex giant incisional hernias: A report of 3 cases.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Anthony GonzalezDepartment of General and Bariatric Surgery, Baptist Health South Florida, 7800 SW 87th Ave. Suite B210, Miami, FL, 33173, USA. anthonyg@baptisthealth.net.
Ernesto EscobarDepartment of General and Bariatric Surgery, Baptist Health South Florida, 7800 SW 87th Ave. Suite B210, Miami, FL, 33173, USA.
Rey RomeroDepartment of General and Bariatric Surgery, Baptist Health South Florida, 7800 SW 87th Ave. Suite B210, Miami, FL, 33173, USA.
Gail WalkerPopulation Health and Outcomes Research, Center for Research and Grants, Baptist Health South Florida, Miami, FL, USA.
Jacqueline MejiasPopulation Health and Outcomes Research, Center for Research and Grants, Baptist Health South Florida, Miami, FL, USA.
Michelle GallasPopulation Health and Outcomes Research, Center for Research and Grants, Baptist Health South Florida, Miami, FL, USA.
Eugene DickensHillcrest Medical Center and Oklahoma Physician Group, Tulsa, OK, USA.
Christopher J JohnsonMid-Florida Surgical Associates, Clermont, FL, USA.
Jorge RabazaDepartment of General and Bariatric Surgery, Baptist Health South Florida, 7800 SW 87th Ave. Suite B210, Miami, FL, 33173, USA.
Omar Yusef KudsiSteward Good Samaritan Medical Center, Brockton, MA, USA.
Baptist Health South Florida · USBaptist Hospital of Miami · USGood Samaritan Medical Center · USHillcrest Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe open approach continues to be widely performed for ventral hernia repair, while the minimally invasive laparoscopic approach has grown adoption over the last decade. Recently, robotic operation was described as a new modality due to the ease for performing intracorporeal closure of the hernia defect. This study is one of the first multi-institutional case series evaluating robotic-assisted laparoscopic ventral hernia repairs, with the goal of describing robotic-assisted surgical techniques for ventral and incisional hernia repair and the outcomes in teaching and community hospital settings.

methodsMedical records of consecutive patients (including surgeon's learning curve cases) who underwent ventral or incisional hernia repair utilizing the da Vinci Surgical System (Intuitive Surgical Inc, Sunnyvale CA) were retrospectively reviewed. Data collected included preoperative history and perioperative outcomes.

resultsData for a total of 368 patients from four institutions involving five surgeons were analyzed. They were predominantly females (60.3 %), and the mean age was 51 years. The majority of the patients were obese or morbidly obese (47.8 and 20.9 %), and 83.2 % of the patients had a history of prior abdominal operation. Conversion rate was 0.8 %, and mean length of stay was 1 day. Total postoperative complications rate up to 30 days was 8.4 %, of which incidence of paralytic ileus was 2.4 %.

conclusionThis large case series of 368 patients demonstrates reproducibility of safety and performance associated with robotic-assisted ventral hernia repairs performed by five surgeons at four institutions. In addition, the results of short term perioperative outcomes for surgeons during their early experience for robotic-assisted cases are in the range of what is reported in the existing published data on laparoscopic and open ventral hernia repairs. Further comparative evidence initiatives are being pursued to determine the benefits of robotic-assisted technique and technology for long-term and patient-reported outcomes.

Indexed as

LaparoscopyRobotic Surgical ProceduresAdultConversion to Open SurgeryFemaleHernia, VentralHumansMaleMiddle AgedObesityPostoperative ComplicationsRetrospective StudiesUnited StatesIncisional herniaLaparoscopic hernia repairOpen herniaRobotic incisional herniaRobotic ventral herniaVentral hernia

Identifiers

PMID27495347
OpenAlexW2483436158

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.