Evidence map›Paper›PMID 31037492›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2019

A direct comparison of robotic and laparoscopic hernia repair: patient-reported outcomes and cost analysis.

N E Zayan, M P Meara, J S Schwartz, V K Narula

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 8 pooled it
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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

29 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  9. ROBOTIC-ASSISTED VERSUS LAPAROSCOPIC INCISIONAL HERNIA REPAIR: DIFFERENCES IN DIRECT COSTS FROM A BRAZILIAN PUBLIC INSTITUTE PERSPECTIVE.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

N E ZayanOhio State University College of Medicine, 370 W 9th Ave, Columbus, OH, 43210, USA.
M P MearaOhio State University Wexner Medical Center, 410 W 10th Ave, Columbus, OH, 43210, USA.
J S SchwartzOhio State University Wexner Medical Center, 410 W 10th Ave, Columbus, OH, 43210, USA.
V K NarulaOhio State University Wexner Medical Center, 410 W 10th Ave, Columbus, OH, 43210, USA. raaja.narula@osumc.edu.ORCID http://orcid.org/0000-0002-9629-0326

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHernia repair is one of the most commonly performed surgeries in the United States. Since the introduction of the Da Vinci robot, robot-assisted hernia repairs have become more common. In this study we aim to directly compare robotic and laparoscopic hernia repairs as well as explore potential cost differences. We hypothesize that robot-assisted hernia repairs are associated with better patient-reported outcomes.

methodsWe conducted retrospective review to create a cohort study of 53 robotic (37 inguinal and 16 ventral) and 101 laparoscopic (68 inguinal and 33 ventral) hernia repairs. Patient-reported outcomes were measured using the Carolinas Comfort Scale (CCS). Operative details were examined, and a cost analysis was performed.

resultsCombining both hernia types together as well as looking at inguinal and ventral repairs separately, we found that there was no difference in hernia recurrence or 1-year CCS between robotic and laparoscopic hernia repair. For ventral hernia repairs alone, robotic procedure was associated with a decreased length of stay. We found that our robotic cases did have longer operative times and higher costs. The operative times did decrease to a length comparable to that of the laparoscopic cases as experience operating with the robot increased.

conclusionIn comparison to laparoscopic hernia repair, robotic hernia repair does not improve long-term patient-reported surgical outcomes. However, it does increase the cost of the operation and, in general, result in longer operative times.

Indexed as

LaparoscopyRobotic Surgical ProceduresCosts and Cost AnalysisFemaleHernia, AbdominalHerniorrhaphyHumansMaleMiddle AgedPatient Reported Outcome MeasuresRetrospective StudiesUnited StatesCost analysisHernia outcomesLaparoscopic hernia repairRobotic hernia repair

Identifiers

PMID31037492

What OpenQuestion holds

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Registered trials

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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.