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ArticleInternational urogynecology journal2025

Robotic-Assisted Vesicovaginal Fistula Repair: A Comparative Analysis Between Hugo RAS and da Vinci Xi Systems.

Deerush Kannan Sakthivel, Amrithavarshini Ragavan, Sandeep Bafna, Narasimhan Ragavan, Meera Ragavan

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
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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

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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

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

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4 · The record

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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

5 authors.

Deerush Kannan SakthivelDepartment of Urology, Apollo Hospitals, Chennai, India. deerush92@gmail.com.ORCID 0000-0002-6072-1745
Amrithavarshini RagavanDepartment of Urology, Apollo Hospitals, Chennai, India.
Sandeep BafnaDepartment of Urology, Apollo Hospitals, Chennai, India.
Narasimhan RagavanDepartment of Urology, Apollo Hospitals, Chennai, India.
Meera RagavanDepartment of Urology, Apollo Hospitals, Chennai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the outcomes of vesicovaginal fistula (VVF) repair using two different robotic systems.

designThis retrospective comparative study analysed the surgical outcomes of VVF repair utilizing two different robotic platforms: the Hugo RAS Medtronic robot and the da Vinci Xi robot.

methodsVVF repair was performed with da Vinci Xi system (n = 15) and Hugo RAS Medtronic robot (n = 11) in a non-randomized fashion. Patient demographics, operative details (operative time and blood loss), intraoperative complications and postoperative outcomes were recorded and analysed.

resultsThe mean age of patients undergoing VVF repair was 41.2 years. In the Medtronic arm, the mean operative time was 82 min, with a mean blood loss of 60 ml. In the da Vinci arm, the mean operative time was 76 min, with a mean blood loss of 60 ml. Intraoperative complication was not observed in either group. Postoperative complications were minimal, with none exceeding Clavien-Dindo grade 2. Outcomes were comparable between both groups.

conclusionsOur study demonstrates the feasibility and safety of using both the Hugo RAS Medtronic robot and the da Vinci Xi robot for VVF repair. These preliminary findings suggest that robotic-assisted surgery is promising for VVF repair, irrespective of the robotic platform.

Indexed as

Gynecologic Surgical ProceduresRobotic Surgical ProceduresVesicovaginal FistulaAdultBlood Loss, SurgicalFemaleHumansMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesTreatment OutcomeRobotic surgeryUrogynaecologyVesicovaginal fistula

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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.