Evidence map›Paper›PMID 38668808›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2024

A comparison of robotic enhanced-view totally extraperitoneal approach versus trans-abdominal retro-muscular approach for midline ventral hernias.

Tulio Brasileiro Silva Pacheco, Hazim Hakmi, Robert Halpern, Amir Humza Sohail, Meredith Akerman, Kristen Weinman, David K Halpern

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Robotic Surgical Procedures for Ventral Hernia Repair.Journal of abdominal wall surgery : JAWS · 2025
    Review
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.

Tulio Brasileiro Silva PachecoDepartment of Surgery, NYU Langone Hospital-Long Island, 259 1St Street, Mineola, NY, 11501, USA. tulio.pacheco@nyulangone.org.ORCID 0000-0003-0774-4072
Hazim HakmiDepartment of Surgery, NYU Langone Hospital-Long Island, 259 1St Street, Mineola, NY, 11501, USA.
Robert HalpernDepartment of Surgery, NYU Langone Hospital-Long Island, 259 1St Street, Mineola, NY, 11501, USA.
Amir Humza SohailDepartment of Surgery, NYU Langone Hospital-Long Island, 259 1St Street, Mineola, NY, 11501, USA.
Meredith AkermanDepartment of Surgery, NYU Langone Hospital-Long Island, 259 1St Street, Mineola, NY, 11501, USA.
Kristen WeinmanDepartment of Surgery, NYU Langone Hospital-Long Island, 259 1St Street, Mineola, NY, 11501, USA.
David K HalpernDepartment of Surgery, NYU Langone Hospital-Long Island, 259 1St Street, Mineola, NY, 11501, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe evolution of midline ventral hernia repair has progressed from the open Rives-Stoppa technique to minimally invasive robotic approaches, notably the trans-abdominal retromuscular (TARM) and enhanced-view Totally Extraperitoneal (eTEP) methods. This study compares these two robotic techniques in repairing medium-sized midline ventral hernias.

methodsA retrospective comparative study of electronic medical records from 2015 to 2021 was conducted on patients undergoing robotic TARM or eTEP at NYU Langone Hospital-Long Island. Data on demographics, comorbid conditions, surgical history, intraoperative details, hernia characteristics, and postoperative outcomes were analyzed.

resultsBoth eTEP and TARM groups exhibited comparable outcomes regarding operative duration, hernia defect size, and overall complications. However, notable differences were observed in patients' BMI, implanted mesh area, mesh composition, and fixation techniques across the groups. The TARM group required a longer hospital stay (median: 1 day) in contrast to the eTEP group (median: 0 days). Additionally, eTEP patients indicated reduced postoperative pain scores (median: 2) compared to TARM (median: 3), with both differences being statistically significant (p < 0.001).

conclusionThe robotic eTEP approach is associated with lower post-operative pain scores, decreased hospital length of stay, and larger areas of mesh implantation as compared to the TARM approach. Other variables are largely comparable between the two techniques. LEVEL OF EVIDENCE: Level III.

Indexed as

Hernia, VentralHerniorrhaphyRobotic Surgical ProceduresAdultAgedFemaleHumansLength of StayMaleMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesSurgical MesheTEPHernia repairMidline ventral herniaMinimally invasiveRives StoppaRobotic surgeryTARM

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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.