ArticleSurgical endoscopy2024
Robotic approach for retromuscular ventral hernia repair may be associated with improved wound morbidity in high-risk patients: a propensity score analysis.
Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 13 citations in OpenAlex.
- Open versus robotic retromuscular ventral hernia repair: outcomes of the ORREO prospective randomized controlled trial.Surgical endoscopy · 2024Trial
- Impact of body mass index on outcomes after robotic transversus abdominis release in patients without obesity, with class I obesity, and with class II obesity: a multicenter study.Surgical endoscopy · 2026Article
- "I Just Wish Someone would Take me Very Seriously": Impact of Delayed Ventral Hernia Repair on Patient Well-being.Annals of surgery · 2026Article
- Technical advances in robotic retinal surgery: a systematic review and future research directions.Journal of robotic surgery · 2026Review
- Robotic primary ventral hernia repair-a multi-national Delphi expert consensus.Journal of robotic surgery · 2025Article
- Robotic Cardiac Surgery in High-Risk Patients: Are We Ready for Prime Time?JACC. Case reports · 2025Article
- Comparing robotic to open retromuscular ventral hernia repair: a multi-center propensity-matched analysis.Surgical endoscopy · 2025Article
- Short-term outcomes after robot-assisted retromuscular versus laparoscopic intraperitoneal onlay mesh repair of small-to-medium ventral hernias: a prospective, multicenter, propensity score-matched analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Robotic retromuscular hernia repair optimizes short-term outcomes in higher risk patients.Surgical endoscopy · 2025Article
- Robotic trans-abdominal retromuscular hernia repair for medium-sized midline hernias: midterm outcomes and surgical site occurrence (SSO) analysis in 120 patients.Journal of robotic surgery · 2024Article
- Robotic transversus abdominis release (TAR) for ventral hernia repairs is associated with low surgical site occurrence rates and length of stay despite increasing modifiable comorbidities.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRetromuscular sublay (RMS) technique for repair of ventral hernias has gained popularity due to lower risk of recurrence and wound complications. Robotic approaches to RMS have been shown to decrease hospital stay; however, previous studies have failed to show a significant reduction in wound morbidity. Utilizing the Abdominal Core Health Quality Collaborative (ACHQC) database, this study sought to determine the effect of robotic approach on wound morbidity, while specifically focusing on a high-risk population.
methodsA retrospective review of elective robotic and open RMS repairs in the ACHQC database was performed. Patients deemed to be high-risk for wound complications were included: adult patients with BMI greater than 35 and who were either current smokers or diabetics. A propensity score match was then done to balance covariates between the two groups. Main outcomes of concern were surgical site occurrences (SSO), surgical site infections (SSI), and surgical site occurrence requiring procedural intervention (SSOPI) at 30-day follow-up.
resultsA total of 917 patients met inclusion criteria. After propensity score matching, 211 patients matched for each approach. There was no difference in overall SSO (18% for Open vs 23% for Robotic, p = 0.23). Open repair was associated with higher rates of SSI (4% vs 1%, p = 0.032) and SSOPI (9% SSOPI vs 3%, p < 0. 015). As seen in previous studies, there was a higher rate of seroma associated with Robotic RMS repair (87% vs 48%, p < 0.001) in patients that developed an SSO.
conclusionsIn this analysis, a robotic approach was associated with decreased rates of SSI and SSOPI in obese patients who were either current smokers or diabetics. In effort to reduce wound morbidity and the associated physical and economic costs, robotic approach for retromuscular ventral hernia repair should be considered in this patient population.
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