Comparisons of abdominal wall reconstruction for ventral hernia repairs, open versus robotic
The surgical complexities of our current population have pushed the technological limits of healthcare, urging for minimally invasive approaches. For ventral hernias, in particular, robotic assisted laparoscopic repairs have been met with conflict. Cost and longer operative times are among the argum...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Nature Publishing Group UK
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8044101/ https://www.ncbi.nlm.nih.gov/pubmed/33850165 http://dx.doi.org/10.1038/s41598-021-86093-6 |
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author | Nguyen, Barbara David, Bryan Shiozaki, Teisha Gosch, Kensey Sorensen, G. Brent |
author_facet | Nguyen, Barbara David, Bryan Shiozaki, Teisha Gosch, Kensey Sorensen, G. Brent |
author_sort | Nguyen, Barbara |
collection | PubMed |
description | The surgical complexities of our current population have pushed the technological limits of healthcare, urging for minimally invasive approaches. For ventral hernias, in particular, robotic assisted laparoscopic repairs have been met with conflict. Cost and longer operative times are among the arguments against robotic surgery, although thorough evaluation of patient outcomes could potentially advocate for use of this tool. We attempted to approach this by retrospectively reviewing our own data. We reviewed charts between September 2016 and February 2017 of patients receiving complex hernia repairs, either a standard open repair (SOR) or robotic-assisted repair (RAR). Data collected included preoperative, perioperative, and postoperative care. Of the 43 patients reviewed, 16 were SOR, versus 27 RAR. Patients were comparable in age, gender, BMI, diabetes as a comorbidity; average hernia defect size was similar between the two groups. Although operative times were longer in the RAR group, estimated blood loss (EBL) was less. Hospital stay was also shorter in the RAR group, at 3.0 ± 1.9 days versus 9.6 ± 8.4 days for the OAR group. Of those requiring critical care management, only one patient had a robotic assisted repair, versus half of the patients who received an open repair. Of the patients who presented to the emergency department within 30 days of surgery, each group had four patients, and two from the OAR group required admission. Our data is consistent with other literature supporting shorter lengths of stays. Although the robotic approach did required a longer operative time, the resulting improved patient outcomes support this technique for complex ventral hernia repairs. |
format | Online Article Text |
id | pubmed-8044101 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-80441012021-04-14 Comparisons of abdominal wall reconstruction for ventral hernia repairs, open versus robotic Nguyen, Barbara David, Bryan Shiozaki, Teisha Gosch, Kensey Sorensen, G. Brent Sci Rep Article The surgical complexities of our current population have pushed the technological limits of healthcare, urging for minimally invasive approaches. For ventral hernias, in particular, robotic assisted laparoscopic repairs have been met with conflict. Cost and longer operative times are among the arguments against robotic surgery, although thorough evaluation of patient outcomes could potentially advocate for use of this tool. We attempted to approach this by retrospectively reviewing our own data. We reviewed charts between September 2016 and February 2017 of patients receiving complex hernia repairs, either a standard open repair (SOR) or robotic-assisted repair (RAR). Data collected included preoperative, perioperative, and postoperative care. Of the 43 patients reviewed, 16 were SOR, versus 27 RAR. Patients were comparable in age, gender, BMI, diabetes as a comorbidity; average hernia defect size was similar between the two groups. Although operative times were longer in the RAR group, estimated blood loss (EBL) was less. Hospital stay was also shorter in the RAR group, at 3.0 ± 1.9 days versus 9.6 ± 8.4 days for the OAR group. Of those requiring critical care management, only one patient had a robotic assisted repair, versus half of the patients who received an open repair. Of the patients who presented to the emergency department within 30 days of surgery, each group had four patients, and two from the OAR group required admission. Our data is consistent with other literature supporting shorter lengths of stays. Although the robotic approach did required a longer operative time, the resulting improved patient outcomes support this technique for complex ventral hernia repairs. Nature Publishing Group UK 2021-04-13 /pmc/articles/PMC8044101/ /pubmed/33850165 http://dx.doi.org/10.1038/s41598-021-86093-6 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Nguyen, Barbara David, Bryan Shiozaki, Teisha Gosch, Kensey Sorensen, G. Brent Comparisons of abdominal wall reconstruction for ventral hernia repairs, open versus robotic |
title | Comparisons of abdominal wall reconstruction for ventral hernia repairs, open versus robotic |
title_full | Comparisons of abdominal wall reconstruction for ventral hernia repairs, open versus robotic |
title_fullStr | Comparisons of abdominal wall reconstruction for ventral hernia repairs, open versus robotic |
title_full_unstemmed | Comparisons of abdominal wall reconstruction for ventral hernia repairs, open versus robotic |
title_short | Comparisons of abdominal wall reconstruction for ventral hernia repairs, open versus robotic |
title_sort | comparisons of abdominal wall reconstruction for ventral hernia repairs, open versus robotic |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8044101/ https://www.ncbi.nlm.nih.gov/pubmed/33850165 http://dx.doi.org/10.1038/s41598-021-86093-6 |
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