ArticleJournal of robotic surgery2021
Robotic-assisted repair of complex ventral hernia: can it pay off?
Article in Journal of robotic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
18 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Open versus robotic transversus abdominis release for ventral hernia repair: an updated systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Open versus robotic transversus abdominis release for ventral hernia repair: an updated systematic review, meta-analysis, and meta-regression.Surgical endoscopy · 2024Pooled it
- Outcomes after open posterior component separation via transversus abdominis release (TAR) for incisional hernia repair. A systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Robotic surgery for inguinal and ventral hernia repair: a systematic review and meta-analysis.Surgical endoscopy · 2024Pooled it
- Pooled it
- Robotic-assisted ventral hernia repair - a detailed economic evaluation: is it worth it?Hernia : the journal of hernias and abdominal wall surgery · 2025Trial
- Robotic ventral hernia repair versus non-robotic techniques: a SAGES systematic review and meta-analysis.Surgical endoscopy · 2026Article
- Why pay more for robot in breast surgery: literature review and analysis of costs.Gland surgery · 2026Review
- Comparing robotic to open retromuscular ventral hernia repair: a multi-center propensity-matched analysis.Surgical endoscopy · 2025Article
- Outcomes of open versus robotic preperitoneal ventral hernia repair: a propensity-matched analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Costing methodologies in robotic ventral hernia repair: a scoping review.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- The Clinical Impact of the Introduction of a Robot-Assisted Program in a Specialized Hernia Center: A Propensity Score Matched Cohort Study on Short-Term Outcomes.World journal of surgery · 2025Article
- Robotic Surgical Procedures for Ventral Hernia Repair.Journal of abdominal wall surgery : JAWS · 2025Review
- Hospital costs of robotic-assisted and open treatment of large ventral hernias.Scientific reports · 2024Article
- Enhanced recovery after robotic ventral hernia repair: factors associated with overnight stay in hospital.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Robotic-assisted repair of incisional hernia-early experiences of a university robotic hernia program and comparison with open and minimally invasive sublay technique (eMILOS).Langenbeck's archives of surgery · 2023Article
- Less postoperative pain and shorter length of stay after robot-assisted retrorectus hernia repair (rRetrorectus) compared with laparoscopic intraperitoneal onlay mesh repair (IPOM) for small or medium-sized ventral hernias.Surgical endoscopy · 2023Article
- Open versus robotic-assisted laparoscopic posterior component separation in complex abdominal wall repair.BJS open · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pressure on health care providers is growing due to capping of remuneration for medical services in most Western European countries. We wanted to investigate, if robotic-assisted ventral hernia repair is reasonable from an economic point of view in our setting. Patients undergoing open or robotic-assisted repair for complex abdominal wall hernia using a Transversus Abdominis Release (TAR) between September 2017 and January 2019 were included. Procedure-related costs were calculated exact to the minute and cost unit accounting for the postoperative in-patient stay was done. Abdominal wall reconstruction using the TAR-technique was done in a total of 26 (10 female) patients via an open (n = 10) or robotic-assisted (n = 16) approach. No significant difference was seen in regard to age, BMI and ASA scores between subgroups. Time for operation was longer (253.5 vs 211.5 min; p = 0.0322), while postoperative hospital stay was shorter for patients operated with a robotic-assisted approach (4.5 vs 12.5 days; p < 0.005). Procedure-related costs were 2.7-fold higher when a robotic-assisted reconstruction was done (EUR 5397 vs. 1989), while total costs for in-patient stay were about 60% lower (EUR 2715 vs 6663). Currently, revenues by national insurance account for a total of EUR 9577 leading to a profit of EUR 1465 and 925 for the robotic-assisted and open myofascial release, respectively. In addition, 30-day re-admission rate was in favor of the robotic-assisted approach as well (6.3% vs 20%). From an economic point of view, robotic-assisted TAR for complex ventral hernia repair is a viable option in our setting. Higher procedure-related costs are offset by a significant shorter hospital stay. The economic advantage goes along with improvement in outcome of patients.
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Registered trials
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.