ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Robotic Inguinal Hernia Repair Outcomes: Operative Time and Cost Analysis.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 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.
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Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Surgeon task load, ergonomics, and clinical outcomes in laparoscopic versus robotic-assisted inguinal hernia repair: a systematic review and meta-analysis of randomized controlled trials.Journal of robotic surgery · 2026Pooled it
- Short-term outcomes of robotic versus laparoscopic TAPP for inguinal hernia repair: a systematic review, meta-analysis, and GRADE assessment.Journal of robotic surgery · 2026Pooled it
- Is quantity quality? The impact of surgeon volume on outcomes in inguinal hernia repair: a quantitative systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Robot-assisted vs open partial nephrectomy: a propensity-matched analysis of perioperative outcomes and midterm oncologic safety.International urology and nephrology · 2026Article
- Feasibility study of a robot-assisted endoscopic technique for plate osteosyntheses of the acetabulum and anterior pelvic ring.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026Article
- Robotic inguinal and umbilical hernia repair: clinical outcomes, costs, and future perspectives: a narrative review.Journal of robotic surgery · 2025Review
- Contemporary inguinal hernia repair: do cost and operative time still differ by approach?Surgical endoscopy · 2025Article
- Long-term quality of life outcomes following robotic inguinal hernioplasty: a single-centre experience of 100 cases.Journal of robotic surgery · 2025Article
- A Systematic Review of Open, Laparoscopic, and Robotic Inguinal Hernia Repair: Management of Inguinal Hernias in the 21st Century.Journal of clinical medicine · 2025Article
- Earlier Experience of Robotic Inguinal Hernia Repair With the New Hugo™ Robotic System in Europe.Journal of abdominal wall surgery : JAWS · 2025Article
- Outcomes During the Learning Curve and Feasibility of Implementing the European Hernia Society Recommendation Guidelines for Robotic Abdominal Wall Surgery Within a UK Centre.Journal of abdominal wall surgery : JAWS · 2025Article
- Article
- Open vs. robot-assisted preperitoneal inguinal hernia repair. Are they truly clinically different?Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Hospital costs of robotic-assisted and open treatment of large ventral hernias.Scientific reports · 2024Article
- Risk factors for reoperation following inguinal hernia repair: results from a cohort of patients from an integrated healthcare system.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Effect of operative times in bariatric surgery on outcomes: a matched analysis of the MBSAQIP database.Surgical endoscopy · 2023Review
- Cost analysis of robotic assisted general surgery cases in a single academic institution.Journal of robotic surgery · 2023Article
- Comparison of post-operative outcomes of large direct inguinal hernia repairs based on operative approach (open vs. laparoscopic vs. robotic) using the ACHQC (Abdominal Core Health Quality Collaborative) database.Surgical endoscopy · 2023Article
- Current status and future perspectives of robotic inguinal hernia repair.Surgery today · 2022Review
- A New Modified Hysteroscopic-Laparoscopic Surgery for Cesarean Scar Pregnancy of Stable Type III.International journal of general medicine · 2021Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRobotic inguinal hernia repair is the latest iteration of minimally invasive herniorrhaphy. Previous studies have shown expedited learning curves compared to traditional laparoscopy, which may be offset by higher cost and longer operative time. We sought to compare operative time and direct cost across the evolving surgical practice of 10 surgeons in our healthcare system.
methodsThis is a retrospective review of all transabdominal preperitoneal robotic inguinal hernia repairs performed by 10 general surgeons from July 2015 to September 2018. Patients requiring conversion to an open procedure or undergoing simultaneous procedures were excluded. The data was divided to compare each surgeon's initial 20 cases to their subsequent cases. Direct operative cost was calculated based on the sum of supplies used intra-operatively. Multivariate analysis, using a generalized estimating equation, was adjusted for laterality and resident involvement to evaluate outcomes.
resultsRobotic inguinal hernia repairs were divided into two groups: early experience (n = 167) and late experience (n = 262). The late experience had a shorter mean operative time by 17.6 min (confidence interval: 4.06 - 31.13, p = 0.011), a lower mean direct operative cost by $538.17 (confidence interval: 307.14 - 769.20, p < 0.0001), and fewer postoperative complications (p = 0.030) on multivariate analysis. Thirty-day readmission rates were similar between both groups.
conclusionIncreasing surgeon experience with robotic inguinal hernia repair is associated with a predictable reduction in operative time, complication rates, and direct operative cost per case. Thirty-day readmission rates are not affected by the learning curve.
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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.