Robotic versus Laparoscopic Ventral Hernia Repair: A Multicenter, Blinded Randomized Controlled Trial

2019 ◽  
Author(s):  
Oscar Olavarria ◽  
Karla Bernardi ◽  
Shinil K. Shah ◽  
Todd D. Wilson ◽  
Shuyan Wei ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Hernia Repair ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Controlled Trial ◽  
Laparoscopic Ventral Hernia Repair ◽  
Randomized Controlled

Transgastric Versus Laparoscopic Ventral Hernia Repair: A Randomized Controlled Trial in a Live Porcine Model

2009 ◽  
Vol 69 (5) ◽  
pp. AB162
Author(s):  
Sergey V. Kantsevoy ◽  
Xavier Dray ◽  
Eun Ji Shin ◽  
Gianfranco Donatelli ◽  
Devi Mukkai Krishnamurty ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Hernia Repair ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Porcine Model ◽  
Controlled Trial ◽  
Laparoscopic Ventral Hernia Repair ◽  
Randomized Controlled

scholarly journals Robotic versus open primary ventral hernia repair: A randomized controlled trial (Robovent Trial)

2020 ◽  
Vol 21 ◽  
pp. 27-31
Author(s):  
Jonathan Douissard ◽  
Jeremy Meyer ◽  
Arnaud Dupuis ◽  
Andrea Peloso ◽  
Julie Mareschal ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Hernia Repair ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Primary Ventral Hernia

scholarly journals Robotic versus laparoscopic ventral hernia repair: multicenter, blinded randomized controlled trial

BMJ ◽  
2020 ◽  
pp. m2457 ◽  
Author(s):  
Oscar A Olavarria ◽  
Karla Bernardi ◽  
Shinil K Shah ◽  
Todd D Wilson ◽  
Shuyan Wei ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Ventral Hernia ◽  
Laparoscopic Repair ◽  
Ventral Hernia Repair ◽  
Controlled Trial ◽  
Emergency Department Visits ◽  
Laparoscopic Ventral Hernia Repair ◽  
Wound Complications ◽  
Robotic Ventral Hernia Repair

AbstractObjectiveTo determine whether robotic ventral hernia repair is associated with fewer days in the hospital 90 days after surgery compared with laparoscopic repair.DesignPragmatic, blinded randomized controlled trial.SettingMultidisciplinary hernia clinics in Houston, USA.Participants124 patients, deemed appropriate candidates for elective minimally invasive ventral hernia repair, consecutively presenting from April 2018 to February 2019.InterventionsRobotic ventral hernia repair (n=65) versus laparoscopic ventral hernia repair (n=59).Main outcome measuresThe primary outcome was number of days in hospital within 90 days after surgery. Secondary outcomes included emergency department visits, operating room time, wound complications, hernia recurrence, reoperation, abdominal wall quality of life, and costs from the healthcare system perspective. Outcomes were pre-specified before data collection began and analyzed as intention to treat.ResultsPatients from both groups were similar at baseline. Ninety day follow-up was completed in 123 (99%) patients. No evidence was seen of a difference in days in hospital between the two groups (median 0 v 0 days; relative rate 0.90, 95% confidence interval 0.37 to 2.19; P=0.82). For secondary outcomes, no differences were noted in emergency department visits, wound complications, hernia recurrence, or reoperation. However, robotic repair had longer operative duration (141 v 77 min; mean difference 62.89, 45.75 to 80.01; P≤0.001) and increased healthcare costs ($15 865 (£12 746; €14 125) v $12 955; cost ratio 1.21, 1.07 to 1.38; adjusted absolute cost difference $2767, $910 to $4626; P=0.004). Among patients with robotic ventral hernia repair, two had an enterotomy compared none with laparoscopic repair. The median one month postoperative improvement in abdominal wall quality of life was 3 with robotic ventral hernia repair compared with 15 following laparoscopic repair.ConclusionThis study found no evidence of a difference in 90 day postoperative hospital days between robotic and laparoscopic ventral hernia repair. However, robotic repair increased operative duration and healthcare costs.Trial registrationClinicaltrials.gov NCT03490266.

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