ArticleHernia : the journal of hernias and abdominal wall surgery2024
Cost analysis of open versus robot-assisted ventral hernia repair - a retrospective cohort study.
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 17 papers, 1 of them a synthesis that pooled it.
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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
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Hybrid robotic transversus abdominis release (hrTAR) for complex ventral hernias: a systematic review and preliminary synthesis.Journal of robotic surgery · 2026Pooled it
- Open versus robotic-assisted repair of midline ventral hernias with defect width 2-8 cm - a randomized clinical trial (OVER).Hernia : the journal of hernias and abdominal wall surgery · 2026Trial
- Robotic-assisted ventral hernia repair - a detailed economic evaluation: is it worth it?Hernia : the journal of hernias and abdominal wall surgery · 2025Trial
- Mapping the scientific landscape of robotic hernia repair: a bibliometric and topic modeling analysis of thematic transitions.Journal of robotic surgery · 2026Article
- Association of robotic surgical approach with decreased inpatient opioid exposure after abdominal wall reconstruction: a retrospective cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Robotic mini- or less open sublay for anterior abdominal wall hernia repair using the da Vinci single port robotic platform (SP MILOS): a preclinical feasibility study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Posterior Flap Hernioplasty: A Cost-effective Alternative to Transversus Abdominis Release in Complex Ventral Hernias.Plastic and reconstructive surgery. Global open · 2026Article
- Role of Robotic Surgery and Artificial Intelligence in the Management of Abdominal Wall Hernias: A Systematic Review.Cureus · 2025Review
- Robotic inguinal and umbilical hernia repair: clinical outcomes, costs, and future perspectives: a narrative review.Journal of robotic surgery · 2025Review
- Robotic transabdominal preperitoneal versus laparoscopic intraperitoneal onlay mesh plus repair for small to medium primary ventral hernias: a propensity-matched cohort study.Journal of robotic surgery · 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
- Costing methodologies in robotic ventral hernia repair: a scoping review.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Multicenter observational study comparing robotic retrorectus and open preperitoneal mesh repair for treatment of primary ventral hernias.Hernia : the journal of hernias and abdominal wall surgery · 2025Observational
- Lateral single-dock robot-assisted retro-rectus ventral hernia repair (rTARUP/rTARM): observational study on long-term follow-up.Journal of robotic surgery · 2025Observational
- Comparison of Robot-assisted Enhanced-view Totally Extraperitoneal (eTEP) and Transabdominal Retromuscular (TARM aka TARUP) Ventral Hernia Mesh Repair: A Systematic Review and Meta-Analysis.Journal of abdominal wall surgery : JAWS · 2025Review
- Outcomes of Robot Assisted Trans Abdominal Retromuscular Umbilical Prosthesis (rTARUP): A Dutch Multicenter Study.Journal of abdominal wall surgery : JAWS · 2025Article
- Introduction of Robotic Abdominal Wall Reconstruction Into a UK-Abdominal Wall Reconstruction Practice: Early Outcomes and Economic Analysis.Journal of abdominal wall surgery : JAWS · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRobot-assisted ventral hernia repair is associated with decreased length of stay and lower complication rates compared with open repair, but acquisition and maintenance of the robotic system is costly. The aim of this was study was to compare the procedure-specific cost of robot-assisted and open ventral and incisional hernia repair including cost of procedure-related readmissions and reoperations within 90 days postoperatively.
methodsSingle-center retrospective cohort study of 100 patients undergoing robot-assisted ventral hernia. Patients were propensity-score matched 1:1 with 100 patients undergoing open repairs on age, type of hernia (primary/incisional), and horizontal defect size. The primary outcome of the study was the total cost per procedure in Euros including the cost of a robotic approach, extra ports, mesh, tackers, length of stay, length of readmission, and operative reintervention. The cost of the robot itself was not included in the cost calculation.
resultsThe mean length of stay was 0.3 days for patients undergoing robot-assisted ventral hernia repair, which was significantly shorter compared with 2.1 days for patients undergoing open repair, P < 0.005. The readmission rate was 4% for patients undergoing robot-assisted ventral hernia repairs and was significantly lower compared with open repairs (17%), P = 0.006. The mean total cost of all robot-assisted ventral and incisional hernia repairs was 1,094 euro compared with 1,483 euro for open repairs, P = 0.123. The total cost of a robot-assisted incisional hernia repair was significantly lower (1,134 euros) compared with open ventral hernia repair (2,169 euros), P = 0.005.
conclusionsIn a Danish cohort of patients with incisional hernia, robot-assisted incisional hernia repair was more cost-effective than an open repair due to shortened length of stay, and lower rates of readmission and reintervention within 90 days.
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