Evidence map›Paper›PMID 32720173›Full record

ArticleSurgical endoscopy2021

Short-term quality of life comparison of laparoscopic, open, and robotic incisional hernia repairs.

Beau Forester, Mikhail Attaar, Kara Donovan, Kristine Kuchta, Michael Ujiki, Woody Denham, Stephen P Haggerty, JoAnn Carbray, John Linn

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  6. 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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  16. Video Review Can Measure Surgical Robotic Skill Development in a Resident Robotic Hernia Curriculum: A Retrospective Cohort Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024
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  19. EARLY OUTCOMES OF ROBOTIC ENHANCED VIEW TOTALLY EXTRAPERITONEAL VENTRAL HERNIA REPAIR: A SINGLE-CENTER EXPERIENCE.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 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

9 authors.

Beau ForesterNorthShore University HealthSystem, 2650 Ridge Ave., Evanston, IL, 60201, USA.ORCID http://orcid.org/0000-0001-7517-4636
Mikhail AttaarNorthShore University HealthSystem, 2650 Ridge Ave., Evanston, IL, 60201, USA.
Kara DonovanNorthShore University HealthSystem, 2650 Ridge Ave., Evanston, IL, 60201, USA.
Kristine KuchtaNorthShore University HealthSystem, 2650 Ridge Ave., Evanston, IL, 60201, USA.
Michael UjikiNorthShore University HealthSystem, 2650 Ridge Ave., Evanston, IL, 60201, USA.
Woody DenhamNorthShore University HealthSystem, 2650 Ridge Ave., Evanston, IL, 60201, USA.
Stephen P HaggertyNorthShore University HealthSystem, 2650 Ridge Ave., Evanston, IL, 60201, USA.
JoAnn CarbrayNorthShore University HealthSystem, 2650 Ridge Ave., Evanston, IL, 60201, USA.
John LinnNorthShore University HealthSystem, 2650 Ridge Ave., Evanston, IL, 60201, USA. JLinn@northshore.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOutcomes of incisional hernia repair (IHR) include recurrence and quality of life (QOL). Operative approaches include laparoscopic, open, and robotic approaches. Data regarding comparative QOL outcomes among these repair types are unknown. Our study evaluates quality of life after three approaches to IHR. STUDY

designPatients undergoing open (OHR), laparoscopic (LIHR), and robotic extra-peritoneal (RIHR) at a single institution from 2009 to 2019 were reviewed from a prospectively managed quality database. Short-term QOL was compared among the three procedures using the Surgical Outcomes Measurement System (SOMS) and Carolinas Comfort Scale (CCS), objective pain scores and postoperative narcotic use. Data regarding length of stay (LOS), emergency department (ED) visits, readmission, reoperations and surgical site infection (SSI) were also collected.

resultsA total of 795 patients undergoing IHR were analyzed (418 open, 300 laparoscopic and 77 robotic). Patient were similar in age, gender and co-morbidities. LIHR patients had higher BMI and RIHR patients had larger hernia and mesh size. LOS was longer and rate of SSI was higher for OIHR compared to laparoscopic and RIHR. Patients undergoing LIHR reported increased narcotic use, Visual Analogue Scale (VAS) and CCS pain scores compared to open and robotic repair. Return to daily activity was 4 days shorter for robotic than open and laparoscopic repair; ED visits, readmissions, reoperations, and other QOL domains were similar.

conclusionOur data suggests that short-term quality of life after robotic extra-peritoneal IHR is improved compared to open and laparoscopic repair. Additional follow up is required to determine differences in long-term QOL after IHR.

Indexed as

Hernia, InguinalIncisional HerniaLaparoscopyQuality of LifeRobotic Surgical ProceduresHerniorrhaphyHumansIncisional herniaLaparoscopic repairOpen repairPain medicationQuality of lifeRobotic repair

Identifiers

PMID32720173

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.