ArticleSurgical endoscopy2026
Quantification of tension during cruroplasty of robotic-assisted hiatal hernia repairs using force feedback instruments on the da Vinci surgical platform (dV5).
Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTension-free crural closure is critical for durable hiatal hernia repair. Historically, quantifying crural closure tension (CCT) required workflow-disrupting external gauges. The da Vinci 5 (dV5) platform's integrated force feedback allows instantaneous, device-free tension monitoring. This study quantifies in vivo CCT during robotic hiatal hernia repair (RHHR) and introduces an exploratory metric, the Crural Stiffness Index (CSI), defined as peak force per centimeter of crural displacement.
methodsA retrospective cohort analysis evaluated 76 patients undergoing RHHR at a single institution by a single surgeon using the dV5 system with force feedback instruments between January 2024 and December 2025. Using a standardized tension measurement protocol (TMP), controlled traction was applied to approximate the crura while recording continuous force telemetry. Primary outcomes were mean force, peak force, and CSI during closure.
resultsMean hiatal defect width was 2.16 ± 0.75 cm. Mean force within the calibrated measurement range (≤ 6.5 N) (2.92 ± 0.75 N) remained consistent regardless of defect size (p = 0.276). Peak force averaged 9.60 ± 2.79 N, significantly correlating with defect width; large hernias (> 2.0 cm) required higher tension than small hernias (10.38 vs. 8.78 N, p = 0.011). The cohort's mean CSI was 6.09 ± 2.12 N/cm. CSI did not significantly differ between large and small defects (p = 0.888), suggesting intrinsic compliance is independent of initial hernia size.
conclusionsUsing the dV5 and a standardized TMP, this study reliably quantified, in vivo, CCT during robotic hiatal hernia repairs. While mean forces remained uniform, peak forces significantly increased with larger defect widths. CSI suggested that crural compliance may be independent of hernia size. As a proof of concept, crural tensiometry is feasible within standard robotic workflow. The exploratory CSI requires prospective validation against clinical outcomes before it can guide operative decisions.
Indexed as
Identifiers
42862291What OpenQuestion holds
Registered trials
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.