Evidence map›Paper›PMID 41372699›Full record

ArticleJournal of robotic surgery2025

Operative efficiency and safety outcomes: single-port versus multi-port robotic-assisted peritoneal flap vaginoplasty.

Jennifer R Goldman, Emily C Yanoshak, Abhinav Kareddy, Abhishek Kumar, Jessica M Pawly, Sean Corbett, John T Stranix

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of robotic 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

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

The trial behind it

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.

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

7 authors.

Jennifer R GoldmanDepartment of Plastic Surgery, University of Virginia, 1300 Jefferson Park Avenue, Charlottesville, VA, 22903, USA. jrg4ex@gwmail.gwu.edu.
Emily C YanoshakDepartment of Plastic Surgery, University of Virginia, 1300 Jefferson Park Avenue, Charlottesville, VA, 22903, USA.
Abhinav KareddyDepartment of Plastic Surgery, University of Virginia, 1300 Jefferson Park Avenue, Charlottesville, VA, 22903, USA.
Abhishek KumarDepartment of Plastic Surgery, University of Virginia, 1300 Jefferson Park Avenue, Charlottesville, VA, 22903, USA.
Jessica M PawlyDepartment of Plastic Surgery, University of Virginia, 1300 Jefferson Park Avenue, Charlottesville, VA, 22903, USA.
Sean CorbettDepartment of Plastic Surgery, University of Virginia, 1300 Jefferson Park Avenue, Charlottesville, VA, 22903, USA.
John T StranixDepartment of Plastic Surgery, University of Virginia, 1300 Jefferson Park Avenue, Charlottesville, VA, 22903, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRobotic-assisted surgery has advanced reconstructive procedures, including peritoneal flap vaginoplasty (PFV), where both single-port and multi-port robotic systems are used. However, there remains debate regarding comparative efficacy, safety, and overall patient benefits of these two approaches. This paper aims to evaluate the outcomes of single-port versus multi-port robotic systems in PFV, focusing on operative efficiency and patient safety.

methodsWe retrospectively reviewed all patients who underwent robotic-assisted PFV between September 2021 and May 2024. All procedures were led by the same surgical team. Demographic and postoperative data were collected. Operative details, such as the type of robotic system used (single-port vs. multi-port), procedure length, and estimated costs were also recorded. Statistical analysis was conducted using IBM SPSS software. P-values of < 0.05 were considered statistically significant.

resultsA total of 47 patients underwent full-depth PFV. 24 patients underwent PFV with the assistance of a multiport robot and 23 with a single-port robot. Groups did not differ demographically (p > 0.05). Mean operative time in the multiport cohort was 264 min compared to 204 min in the single-port cohort (p < 0.001). The single-port approach yielded a mean estimated cost savings of $6,960 (p < 0.001) There was no statistically significant difference in acute postoperative complications between cohorts.

conclusionThis retrospective review demonstrates that single-port robotic-assisted peritoneal flap vaginoplasty (PFV) is associated with significantly shorter operative times and lower total costs compared to multi-port procedures. These findings suggest that the single-port approach may offer enhanced surgical efficiency without compromising patient safety.

Indexed as

Plastic Surgery ProceduresRobotic Surgical ProceduresSurgical FlapsVaginaAdultFemaleGynecologic Surgical ProceduresHumansMiddle AgedOperative TimePatient SafetyPeritoneumRetrospective StudiesTreatment OutcomeGender affirming surgerySingle port robotic surgeryVaginoplasty

Identifiers

What OpenQuestion holds

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Registered trials

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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.