Evidence map›Paper›PMID 41379342›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2025

Comparison of recurrence and quality-of-Life outcomes after robotic versus laparoscopic parastomal hernia repair: a retrospective analysis of the abdominal core health quality collaborative.

Devin J Clegg, Jacob H Creighton, Hunter L White, R Eric Heidel, Jonathan A Laredo, Josephine A Fuller, Sarah M Budney, Kyle L Kleppe, Kaela E Blake, Aldo Fafaj

Abstract readComparative Study
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In one paragraph

Article 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. Not yet cited in PubMed.

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

10 authors.

Devin J CleggDepartment of Surgery, University of Tennessee Health Science Center College of Medicine Knoxville, 1924 Alcoa Highway, Box U-11, Knoxville, TN, 37920, USA. dj.clegg4@gmail.com.ORCID 0000-0002-5454-114X
Jacob H CreightonDepartment of Surgery, University of Tennessee Health Science Center College of Medicine Knoxville, 1924 Alcoa Highway, Box U-11, Knoxville, TN, 37920, USA.
Hunter L WhiteDepartment of Surgery, University of Tennessee Health Science Center College of Medicine Knoxville, 1924 Alcoa Highway, Box U-11, Knoxville, TN, 37920, USA.
R Eric HeidelDepartment of Surgery, Division of Biostatistics, University of Tennessee Health Science Center College of Medicine Knoxville, Knoxville, TN, USA.
Jonathan A LaredoDepartment of Surgery, University of Tennessee Health Science Center College of Medicine Knoxville, 1924 Alcoa Highway, Box U-11, Knoxville, TN, 37920, USA.
Josephine A FullerDepartment of Surgery, University of Tennessee Health Science Center College of Medicine Knoxville, 1924 Alcoa Highway, Box U-11, Knoxville, TN, 37920, USA.
Sarah M BudneyDepartment of Surgery, University of Tennessee Health Science Center College of Medicine Knoxville, 1924 Alcoa Highway, Box U-11, Knoxville, TN, 37920, USA.
Kyle L KleppeDepartment of Surgery, University of Tennessee Health Science Center College of Medicine Knoxville, 1924 Alcoa Highway, Box U-11, Knoxville, TN, 37920, USA.
Kaela E BlakeDepartment of Surgery, University of Tennessee Health Science Center College of Medicine Knoxville, 1924 Alcoa Highway, Box U-11, Knoxville, TN, 37920, USA.
Aldo FafajDepartment of Surgery, University of Tennessee Health Science Center College of Medicine Knoxville, 1924 Alcoa Highway, Box U-11, Knoxville, TN, 37920, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeParastomal hernias are a common complication after ostomy creation with high morbidity. Minimally invasive Sugarbaker mesh-based repairs have shown improved outcomes. Laparoscopic (LPHR) and robotic-assisted (RPHR) Sugarbaker parastomal hernia repairs were compared.

methodsRetrospective analysis of the Abdominal Core Health Quality Collaborative (ACHQC) database was conducted for elective, minimally invasive Sugarbaker parastomal hernia repair with permanent synthetic mesh from January 2014 to December 2023. Patients were grouped by surgical approach: RPHR or LPHR. Primary outcome was pragmatic hernia recurrence. Secondary outcomes included average pain intensity, hernia-related quality of life, and 30/90-day complications. Statistical analyses included chi-square, t-tests, and Mann-Whitney U tests.

resultsThree hundred sixty-eight patients were included (RPHR: n = 260; LPHR: n = 108). Demographics and comorbidities were similar. RPHR involved more mesh excisions (37.5% vs. 4.3%; P = .009), hernia with longer lengths (8.3 cm vs. 6.4 cm; P < .001), and more frequent fascial closure (94.4% vs. 48.1%; P < .001). Recurrence within one year was lower after RPHR (20.9% vs. 40.5%; P = .03), but no significant differences were observed between postoperative years one through six. No differences in pain or quality-of-life outcomes were noted between groups, but both groups demonstrated significant improvements in hernia-related quality-of-life over one year.

conclusionRecurrence within one year was lower after RPHR compared to LPHR. Longer-term recurrence rates were similar between approaches. However, long-term recurrence findings are limited by low follow-up rates. Both approaches significantly improved hernia-related quality-of-life. Over time, recurrence may be more dependent on the altered anatomy and physiology of the stoma-affected abdominal wall rather than the specific minimally invasive approach used.

Indexed as

Hernia, VentralHerniorrhaphyIncisional HerniaLaparoscopyQuality of LifeRobotic Surgical ProceduresSurgical StomasAgedFemaleHumansMaleMiddle AgedRecurrenceRetrospective StudiesSurgical MeshTreatment OutcomeAbdominal core health quality collaborativeHernia recurrenceLaparoscopicParastomal herniasRobotic-assistedSugarbaker

Identifiers

PMID41379342

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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.