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Robotic assistance in ventral hernia repair may decrease the incidence of hernia recurrence.
Mitchell Andrew Goettman1, Margaret Lynn Riccardi1, Lucky Vang1
1Department of General Surgery, Henry Ford Wyandotte Hospital, MI, USA.
Journal of Minimal Access Surgery
|January 14, 2020
Summary
Robotic ventral hernia repair (VHR) shows lower infection rates than open surgery and significantly reduces recurrence compared to both open and laparoscopic VHR. Robotic surgery may offer additional benefits for complex repairs.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Hernia Repair Outcomes
Background:
- Laparoscopic surgery offers advantages over open surgery for ventral hernia repair (VHR).
- Robotic-assisted surgery is emerging as a new technique for VHR.
- Comparative outcome data for robotic VHR versus established methods are needed.
Purpose of the Study:
- To compare the outcomes of robotic-assisted VHR with open and laparoscopic VHR.
- To assess any additional benefits of robotic-assisted VHR.
Main Methods:
- Network meta-analysis of 23 articles published in the past 10 years.
- Inclusion of open, laparoscopic, and robotic-assisted VHR arms.
- Extracted data analyzed using an arm-based network meta-analysis.
Main Results:
- Laparoscopic and robotic VHR showed lower infection rates than open VHR.
- No statistical difference in infection rates between laparoscopic and robotic VHR.
- Robotic VHR demonstrated significantly lower recurrence rates compared to both open and laparoscopic VHR.
Conclusions:
- Robotic surgery retains advantages of laparoscopic surgery for VHR.
- Robotic VHR may offer superior reduction in recurrence rates.
- Easier fascial closure in robotic VHR may facilitate complex repairs, warranting further research.

