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Robotic inguinal hernia repair: systematic review and meta‐analysis

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submitted on 2023-03-15, 08:04 and posted on 2023-03-16, 06:25 authored by Amjad Qabbani, Omar M. Aboumarzouk, Tamer ElBakry, Abdulla Al‐Ansari, Mohamed S. Elakkad

Background

We aimed to conduct a systematic review and meta-analysis of RHR's efficiency and safety, in addition to comparison between open and laparoscopic techniques.

Methods

A literature review was conducted from 2000 to 2020 including studies reporting on their centre's outcomes for robotic hernial repairs. A meta-analysis was conducted. For continuous data, Mantel–Haenszel chi-squares test was used and inverse variance was used for dichotomous data.

Results

In total, 19 studies were included. A total of 8987 patients were treated for hernia repairs, 4248 underwent open repairs, 2521 had robotic repairs and 1495 had laparoscopic repair. Cumulative analysis of robotic series: The overall average operative time was 90.8 min (range 25–180.7 min). The overall conversation rate was 0.63% (10/1596). The overall complication rate was 10.1% (248/2466). The overall recurrence rate was 1.2% (14/1218). Readmission rate was 1.6% (28/1750). Comparative meta-analysis outcomes include robotic versus open and robotic versus laparoscopic. Robotic versus open: The robotic group had significantly longer operative times and less readmission rates. There was no difference between the two groups regarding complications, post-operative pain occurrence and hernia recurrence rates. Robotic versus laparoscopic: The robotic group had significantly longer operative times and less complications. There was no difference regarding post-operative pain occurrence, hernia recurrence rates or readmission rates.

Conclusion

Robotic hernia repair is a safe and efficient technique with minimal complications and a short learning curve; however, it remains inferior to the standard open technique. It does, however, have a role in minimally invasive technique centres. A multicentre randomized control trial is required comparing robotic, open and laparoscopic techniques.

Other Information

Published in: ANZ Journal of Surgery
License: http://creativecommons.org/licenses/by-nc-nd/4.0/
See article on publisher's website: http://dx.doi.org/10.1111/ans.16505

History

Language

  • English

Publisher

Wiley

Publication Year

  • 2021

Institution affiliated with

  • Hamad Medical Corporation
  • Qatar University

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