Evidence map›Paper›PMID 38554231›Full record

ArticleJournal of robotic surgery2024

Robotic repair of moderate-sized midline ventral hernias reduced complications, readmissions, and length of hospitalization compared to open techniques.

Jonathan Carter, Fayyaz Ahamed, Jackly Juprasert, Mark Anderson, Matthew Lin, Carter Lebares, Ian Soriano

Abstract read
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In one paragraph

Article in Journal of robotic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Trial
  2. Article
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

7 authors.

Jonathan CarterDepartment of Surgery, University of California, San Francisco, 521 Parnassus Ave, HSW 1601, San Francisco, CA, 94143, USA. jonathan.carter@ucsf.edu.
Fayyaz AhamedDepartment of Surgery, University of California, San Francisco, 521 Parnassus Ave, HSW 1601, San Francisco, CA, 94143, USA.
Jackly JuprasertDepartment of Surgery, University of California, San Francisco, 521 Parnassus Ave, HSW 1601, San Francisco, CA, 94143, USA.
Mark AndersonDepartment of Surgery, University of California, San Francisco, 521 Parnassus Ave, HSW 1601, San Francisco, CA, 94143, USA.
Matthew LinDepartment of Surgery, University of California, San Francisco, 521 Parnassus Ave, HSW 1601, San Francisco, CA, 94143, USA.
Carter LebaresDepartment of Surgery, University of California, San Francisco, 521 Parnassus Ave, HSW 1601, San Francisco, CA, 94143, USA.
Ian SorianoDepartment of Surgery, University of California, San Francisco, 521 Parnassus Ave, HSW 1601, San Francisco, CA, 94143, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare outcomes of robotic and open repair for uncomplicated, moderate-sized, midline ventral hernias.

methodsFrom 2017 to 2021, patient characteristics and 30 day outcomes for all ventral hernias at our center were prospectively collected. We studied hernias potentially suitable for robotic repair: elective, midline, 3-10 cm rectus separation, no prior mesh, and no need for concomitant procedure. Robotic or open repair was performed by surgeon or patient preference. The primary outcome was any complication using Clavien-Dindo scoring. Secondary outcomes were operative time, length-of-stay, and readmissions. Regression identified predictors of complications.

resultsOf 648 hernias repaired, 70 robotic and 52 open repairs met inclusion criteria. The groups had similar patient demographics, co-morbidities, and hernia size, except that there were more immunosuppressed patients in the open group (11 versus 5 patients, p = 0.031). Complications occurred after 7 (13%) open repairs versus 2 (3%) robotic repairs, p = 0.036. Surgical site infection occurred after four open repairs but no robotic repair, p = 0.004. Length-of-stay averaged almost 3 days longer after open repair (4.3 ± 2.7 days versus 1.5 ± 1.4 days, p = 0.031). Readmission occurred after 6 (12%) oppen repairs but only 1 (1%) robotic repair. A long-term survey (61% response rate after mean follow-up of 2.8 years) showed that the HerQLes QOL score was better after robotic repair (46 ± 15 versus 40 ± 17,  = 0.049). In regression models, only open technique predicted complications.

conclusionsRobotic techniques were associated with fewer complications, shorter hospitalization, fewer infections, and fewer readmissions compared to open techniques. Open surgical technique was the only predictor of complications.

Indexed as

Hernia, VentralLaparoscopyRobotic Surgical ProceduresHerniorrhaphyHumansPatient ReadmissionQuality of LifeRetrospective StudiesSurgical MeshSurgical Wound InfectionComplicationsHospitalizationOpen ventral herniaReadmissionsRobotic ventral herniaSurgical-site infection

Identifiers

PMID38554231

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.