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Robot-assisted abdominal wall surgery: a systematic review of the literature and meta-analysis

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  1. Risk of incarceration in children with inguinal hernia: a systematic review

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  2. Dealing with the round ligament of uterus in laparoscopic groin hernia repair: a nationwide survey among experienced surgeons

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  3. Comparison of hernia registries: the CORE project

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  1. Large Incisional Hernias Increase in Size

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Anastomotic Leakage After Stoma Reversal Combined with Incisional Hernia Repair

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  3. Enhanced recovery after abdominal wall reconstruction reduces length of postoperative stay: An observational cohort study

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  4. Effect of transversus abdominis release on core stability: Short-term results from a single institution

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PURPOSE: The number of robot-assisted hernia repairs is increasing, but the potential benefits have not been well described. The aim of this study was to evaluate the available literature reporting on outcomes after robot-assisted hernia repairs.

METHODS: This is a qualitative review and meta-analysis of papers evaluating short-term outcomes after inguinal or ventral robot-assisted hernia repair compared with either open or laparoscopic approach. The primary outcome was postoperative complications and secondary outcomes were duration of surgery, postoperative length of stay and financial costs.

RESULTS: Fifteen studies were included. Postoperative complications were significantly decreased after robot-assisted inguinal hernia repair compared with open repair. There were no differences in complications between robot-assisted and laparoscopic inguinal hernia repair. For ventral hernia repair, sutured closure of the defect, retromuscular mesh placement and transversus abdominis release is feasible when using the robot. Length of stay was decreased by a mean of 3 days for robot-assisted repairs compared with open approach. There were no differences in postoperative complications and the operative time was significantly longer for robot-assisted ventral hernia repair compared with laparoscopic or open approach.

CONCLUSIONS: For ventral hernias that would normally require an open procedure, a robot-assisted repair may be a good option, as the use of a minimally invasive approach for these procedures decreases length of stay significantly. For inguinal hernias, the benefit of the robot is questionable. Randomized controlled trials and prospective studies are needed.

Original languageEnglish
JournalHernia : the journal of hernias and abdominal wall surgery
Volume23
Issue number1
Pages (from-to)17-27
Number of pages11
ISSN1265-4906
DOIs
Publication statusPublished - Feb 2019

ID: 57239974