Evidence map›Paper›PMID 40407915›Full record

Observational studyHernia : the journal of hernias and abdominal wall surgery2025

Senhance versus da Vinci robotic inguinal hernia repair: a multi-center propensity-weighted study.

L H Yuan, Y-W Huang, H-Y Tung, C H Tsai, C-M Pen, C C Wu, C H Liao, Y C Ou, S D Yang, S-W Huang and 1 more

Abstract readMulticenter StudyObservational StudyComparative Study
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In one paragraph

Observational study in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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.

2 · The registry

The trial behind it

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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

1 citing paper in PubMed.

  1. 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

11 authors.

L H YuanDepartment of Biomedical Engineering, National Cheng-Kung University, Tainan, Taiwan.ORCID 0000-0002-1302-2239
Y-W HuangDepartment of Urology, National Taiwan University Hospital Yunlin Branch, Yunlin, Taiwan.
H-Y TungTaoyuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan.
C H TsaiTaichung Hospital, Ministry of Health and Welfare, Taichung, Taiwan.
C-M PenChung Shan Medical University Hospital, Taichung, Taiwan.
C C WuShuang Ho Hospital, Ministry of Health and Welfare, New Taipei City, Taiwan.
C H LiaoCardinal Tien Hospital, New Taipei City, Taiwan.
Y C OuTung's Taichung Metro Harbor Hospital, Taichung, Taiwan.
S D YangDepartment of Urology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation No. 289, JianGuo Road, Xindian District, Taipei, Taiwan.
S-W Huang *Department of Urology, National Taiwan University Hospital Yunlin Branch, Yunlin, Taiwan. will6438huang@gmail.com.ORCID 0000-0001-9777-8561
Yao-Chou Tsai *Department of Urology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation No. 289, JianGuo Road, Xindian District, Taipei, Taiwan. tsai1970523@yahoo.com.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInguinal hernia repair is a common surgical procedure, with robotic-assisted surgery increasingly adopted as a minimally invasive approach. While the da Vinci Surgical System offers advantages, its high cost motivates the search for more economical alternatives. The Senhance surgical system, a laparoscopy-based platform with reusable instruments, presents a potential cost-effective option. This study aims to compare the clinical outcomes and preliminary costs of Senhance and da Vinci robotic platforms in inguinal hernia repair.

methodsThis retrospective, observational study analyzed data from eight teaching hospitals using either the Senhance (n = 167) or da Vinci (n = 278) system for robotic inguinal hernioplasty (January 2019-January 2024). Propensity score overlap weighting was used to balance baseline characteristics between groups. Primary outcomes were operative time (ORTIME), console time (CONTIME), and total length of hospital stay (LOS). Secondary outcomes included postoperative length of stay (Post LOS), intraoperative and postoperative complications, and recurrence rate.

resultsAfter overlap weighting, the Senhance group demonstrated significantly shorter operative time (108.42 ± 41.32 vs. 150.50 ± 61.51 min, p < 0.001) and console time (40.95 ± 44.6 vs. 65.56 ± 63.36 min, p = 0.005) compared to the da Vinci group. There were no significant differences in intraoperative or postoperative complications, or recurrence rates between the two groups. Postoperative length of stay was also significantly shorter in the Senhance group (2.24 ± 0.69 vs. 2.63 ± 1.09 days, p = 0.007). Preliminary cost analysis showed lower out-of-pocket expenses for patients undergoing Senhance robotic hernioplasty.

conclusionsThe Senhance robotic system was associated with reduced operative duration and postoperative hospital stay compared to the da Vinci system in inguinal hernia repair, without increasing complications or recurrence. These findings suggested that the Senhance system may be a cost-effective alternative to the da Vinci platform for robotic inguinal hernia repair. Further studies are warranted to investigate long-term outcomes and comprehensive cost-effectiveness.

Indexed as

Hernia, InguinalHerniorrhaphyRobotic Surgical ProceduresAdultAgedCost-Benefit AnalysisFemaleHumansLaparoscopyLength of StayMaleMiddle AgedOperative TimePostoperative ComplicationsPropensity ScoreRecurrenceCost-effectivenessDa VinciInguinal hernia repairPropensity score weightingRobotic surgerySenhance

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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.