Evidence map›Paper›PMID 41543767›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2026

Short-term outcomes and risk factors for complications in robotic versus open parastomal hernia repair: a retrospective propensity score-matched analysis.

Anshumi Desai, Gabriel De la Cruz Ku, Jiddu Guart, Alba Zevallos, Martin Hemeryth, Flavia Rioja, Joseph M Escandón, Sarah Roberts, Jose Luis Guillermo Barrueto-Deza, Bryan Valcarcel and 1 more

Abstract readComparative Study
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In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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.

Anshumi DesaiDivision of Plastic and Reconstructive Surgery, DeWitt Daughtry Family, Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Gabriel De la Cruz KuUniversidad Cientifica del Sur, Lima, Peru. gabrieldelacruzku@gmail.com.ORCID http://orcid.org/0000-0003-4203-3890
Jiddu GuartDepartment of Surgery, University of Massachusetts Medical School, Worcester, MA, USA.
Alba ZevallosLinda University Medical Center, Loma Linda, CA, USA.
Martin HemerythUniversidad Cientifica del Sur, Lima, Peru.
Flavia RiojaUniversidad Cientifica del Sur, Lima, Peru.
Joseph M EscandónDepartment of Surgery, Wyckoff Heights Medical Center, New York City, NY, USA.
Sarah RobertsDepartment of Surgery, University of Massachusetts Medical School, Worcester, MA, USA.
Jose Luis Guillermo Barrueto-DezaUniversidad Cientifica del Sur, Lima, Peru.
Bryan ValcarcelDepartment of Lymphoma and Myeloma, MD Anderson Cancer Center, Houston, TX, USA.
Camila FrancoDepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionParastomal hernias (PSHs) significantly impact the quality of life and pose risks including obstruction and stoma dysfunction. Minimally invasive approaches, particularly robotic surgery, are increasingly employed for elective PSH repairs, yet comparative outcomes remain insufficiently studied. This study evaluated short-term outcomes comparing robotic and open PSH repairs.

methodsA retrospective cohort analysis was conducted using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database. Patients undergoing elective open, laparoscopic, or robotic PSH repairs were identified. Propensity score matching was used to balance baseline characteristics, and multivariate logistic regression identified independent predictors of complications.

resultsOf 1,322 patients, 734 (55.5%) underwent open repair, 408 (30.9%) robotic, and 180 (13.6%) laparoscopic. After matching 808 patients (404 robotic, 404 open), robotic repair significantly reduced overall complications (50 patients, 12.4% vs. 101 patients, 25.0%; p < 0.001), surgical complications (22 patients, 5.4% vs. 45 patients, 11.1%; p = 0.003), medical complications (36 patients, 8.9% vs. 66 patients, 16.3%; p = 0.001), superficial surgical site infections (8 patients, 2.0% vs. 26 patients, 6.4%; p = 0.002), and bleeding requiring transfusion (2 patients, 0.5% vs. 13 patients, 3.2%; p = 0.004). Robotic surgery also reduced length of stay (3.26 days vs. 6.08 days; p < 0.001). Multivariate analysis confirmed robotic technique as an independent protective factor against postoperative complications (OR: 0.414; p < 0.001). (OR: 0.414; p < 0.001).

conclusionRobotic-assisted PSH repair significantly reduces perioperative morbidity, complication rates, and hospital length of stay compared to open surgery. These results support robotic approaches as preferable for elective PSH repair.

Indexed as

Hernia, VentralHerniorrhaphyIncisional HerniaPostoperative ComplicationsRobotic Surgical ProceduresAgedFemaleHumansLaparoscopyLength of StayMaleMiddle AgedPropensity ScoreRetrospective StudiesRisk FactorsSurgical StomasHerniaLength of stayParastomal herniaPostoperative complicationsRobotic

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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.