ArticleJournal of abdominal wall surgery : JAWS2025
Procedural Costs of Robot-Assisted and Laparoscopic Ventral and Incisional Hernia Repair. A Propensity-Score Matched Nationwide Database Study.
Article in Journal of abdominal wall surgery : JAWS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Early Adoption of Technically Complex Robotic Ventral Hernia Repair in a Low-Volume Center: A Retrospective Comparative Analysis with Consecutive Open Cases.Journal of clinical medicine · 2026Article
- Economic benefits of robotic-assisted ventral hernia repair in India: an analysis of health utility, productivity, and operational gains from the real-world ASPIRE INDIA study.Journal of robotic surgery · 2026Article
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Authors and funding
4 authors.
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Abstract
Background: The utilization of the robotic platform for ventral hernia repair is increasing, however is facing criticism for perceived high costs. This study aimed to compare the procedure-specific costs of robot-assisted ventral or incisional hernia repair with laparoscopic repair. Methods: This propensity score-matched nationwide database study included patients undergoing primary ventral and incisional hernia repair from 2017 to 2022. A total of 554 patients undergoing robot-assisted repair were matched 1:1 with patients undergoing laparoscopic repair by the confounding variables of age, type of hernia (primary ventral/incisional), and horizontal defect size. The primary outcome was the total cost per procedure in Euros including robotic/laparoscopic approach, mesh, tackers, length of stay, readmission, and operative reintervention. The price of obtaining laparoscopic and robotic systems was not included. Results: The length of stay was significantly shorter, and readmission rate was significantly lower for robot-assisted repairs (0.5 days and 7.0%) than for laparoscopic repairs (1.2 days and 12.5%), P < 0.001 and P = 0.003, respectively. The mean procedural cost of an incisional hernia repair was significantly reduced with the robot-assisted approach (1,533 Euros (sd: 1,584)) compared to the laparoscopic approach (2,077 Euros (sd: 1,840), Conclusion: For primary ventral hernias, the mean procedural costs of a robot-assisted and a laparoscopic repair are comparable, but for incisional hernia repairs the mean procedural cost is decreased with a robot-assisted approach.
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