Trial reportHernia : the journal of hernias and abdominal wall surgery2025
Shorter operative times following robotic-assisted transabdominal preperitoneal inguinal hernia repair (TAPP) compared to laparoscopic TAPP: the Danish Inguinal Randomized Controlled Trial (DIRECT).
Trial report 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 9 papers, 4 of them syntheses that pooled it.
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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
9 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Surgeon task load, ergonomics, and clinical outcomes in laparoscopic versus robotic-assisted inguinal hernia repair: a systematic review and meta-analysis of randomized controlled trials.Journal of robotic surgery · 2026Pooled it
- Robotic versus laparoscopic inguinal hernia repair: a systematic review and meta-analysis of randomized controlled trials.Surgical endoscopy · 2026Pooled it
- Short-term outcomes of robotic versus laparoscopic TAPP for inguinal hernia repair: a systematic review, meta-analysis, and GRADE assessment.Journal of robotic surgery · 2026Pooled it
- Robotic vs. laparoscopic TAPP: a systematic review and meta-analysis of randomized controlled trials on short-term outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- First United States experience of robotic-assisted minimally invasive inguinal hernia repair using the Dexter surgical system.Surgical endoscopy · 2026Article
- Operative time and recurrence across five techniques of inguinal hernia repair: a Bayesian network meta-analysis of 29 randomized trials.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Research hotspots and trends of robotic hernia repair: a bibliometric analysis (2005-2025).Journal of robotic surgery · 2026Article
- Comparative Outcomes of Minimally Invasive Surgical Approaches on Patient Recovery: A Systematic Review.Cureus · 2026Review
- Robotic transabdominal pre-peritoneal repair of a bilateral inguinal hernia: a surgical technique displaying an educational roadmap using Furtado's 5 triangles concept.Journal of visualized surgery · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the perception of higher procedural costs and longer operative time, robotic-assisted inguinal hernia repair has emerged as an alternative to the laparoscopic procedure. The present study was conducted to determine the time required for robotic and laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair and to determine whether these time profiles differ between the two groups.
methodOne hundred thirty-eight patients were randomized to a robotic-assisted r-TAPP (n = 74; 54%) or a laparoscopic l-TAPP (n = 64; 46%) procedure by experienced surgeons. The hernia defect was classified as either simple or complicated according to hernia size, involvement of the scrotum, and whether the hernia was a primary defect, a recurrence, or a bilateral defect.
resultsTime from intubation to skin closure (P < 0.05) and from air insufflation to removal of instruments (P < 0.05) were shorter for the r-TAPP than for the l-TAPP procedure. This difference was observed for both simple and complex hernias, the difference between groups being larger for the complicated than for the simple defects. The analysis demonstrated that an additional 5 min were needed to dock the robotic platform and place the instruments. Despite this delay, the time required for the procedure remained shorter for the r-TAPP than for the l-TAPP repair.
conclusionRobotic-assisted inguinal hernia repair is associated with a shorter operative time than conventional laparoscopy. While the time required for docking and instrument placement caused a minor delay of the procedure, the operating time for the robotic repair was shorter than for the laparoscopic procedure.
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