Research hotspots and trends of robotic hernia repair: a bibliometric analysis (2005-2025)

Robotic hernia repair (RHR) has evolved into a technological evolution, offering enhanced visualization and precision compared to traditional laparoscopy. This bibliometric analysis evaluated 588 articles (2005-2025) retrieved from the Web of Science Core Collection. Global trends, contributors, collaborations, and emerging hotspots were identified using the R package "bibliometrix". Research volume in RHR has increased significantly over the past two decades, primarily driven by publications in Surgical Endoscopy, Hernia, and the Journal of Robotic Surgery. The USA, Japan, and Germany were the most cited countries, while Tufts University, University of Southern Denmark, and Odense University Hospital were the most productive affiliations. Omar Yusef Kudsi, Fahri Gokcal, and Naseem Bou-Ayash were the most prolific authors. Furthermore, the RIVAL randomized controlled trial by Prabhu et al. (JAMA Surg, 155 (5) 380-387. https://doi.org/10.1001/jamasurg.2020.0034 ) was the most cited manuscript. Keyword analysis demonstrates a clinical evolution from initial procedural feasibility and learning curves toward complex abdominal wall reconstructions, notably including the enhanced-view totally extraperitoneal and the transversus abdominis release. To fully harness the benefits of RHR, future efforts must extend beyond technological innovation to prioritize widespread clinical adoption and establish strong inter-institutional networks.