ArticleSurgical endoscopy2025
Combined open-robotic 'sandwich' repair for flank hernias: a case series of 10 patients.
Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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1 citing paper in PubMed.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFlank hernias represent a rare and technically challenging conundrum for abdominal wall surgeons. Various operative techniques have been attempted including open, laparoscopic, and robotic without an established gold standard. We present a novel technique utilizing a hybrid open-robotic "sandwich" technique for flank hernia repairs.
methodsSingle center, retrospective case series of a single surgeon performing consecutive flank hernia patients via novel technique between 2017 and 2023. Demographic information, clinical hernia characteristics, operative technique, peri-operative complications, and long-term outcomes were collected.
findingsTen patients underwent repair. Average age at repair was 67.6 (SD: 13.4), 70% males, mean BMI 29.6 (SD: 3.11), all ASA 3, and no current smokers. Average hernia defect measured 11.5 cm (SD: 8.3) vertically and 8.1 cm (SD: 3.7) horizontally. Mean operative time was 259.6 min (SD: 85.1), estimated blood loss 30.5 cc, and length of stay 1.6 days (SD 1.6). There were no intra-operative complications. 30-day morbidity included one (10%) patient developing an ileus and one (10%) patient had a hematoma. At a mean follow up of 34 months there was no chronic pain or hernia recurrences.
conclusionThis study outlines a novel approach to complex flank hernia repairs utilizing a combination of an open and robotic approach. There were no long-term surgery related complications, chronic pain, or recurrences in our cohort with a minimum follow up of 6 months and mean of 34 months. Further studies need to be completed in prospective fashion to elucidate the goal standard repair for flank hernias.
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