ArticleJournal of abdominal wall surgery : JAWS2025
Laparoscopic Versus Robotic Ventral Hernia Repair - An ACHQC Database 5-Year Analysis.
Article in Journal of abdominal wall surgery : JAWS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Robotic-assisted surgery for parastomal hernia repair: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- From imaging to outcomes: evaluating the predictive value of preoperative CT for intra and postoperative outcomes in ventral hernia repair - a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Validation of a novel hernia recurrence grading classification system: a surgeon survey using clinical vignettes.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- The effect of surgical approach on opioid prescription rates for outpatient ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Robotic single-port totally extraperitoneal repair and plication for ventral hernia with concomitant rectus diastasis: a case report.International journal of surgery case reports · 2026Article
- Economic benefits of robotic-assisted ventral hernia repair in India: an analysis of health utility, productivity, and operational gains from the real-world ASPIRE INDIA study.Journal of robotic surgery · 2026Article
- Laparoscopic Suitcase Technique for lateral incisional hernias enables fully laparoscopic fascial closure: a retrospective comparative study.BMC surgery · 2026Article
- The prehabilitation paradox in ventral hernia: from universal to personalized care.Hernia : the journal of hernias and abdominal wall surgery · 2026Review
- Robotic repair of Post-Transplant lateral incisional hernias: outcomes in complex hernia management.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Pain and quality of life outcomes following robotic and laparoscopic repair of small-mid sized ventral hernias: insights from the aspire india study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- A novel classification system for hernia recurrence after hernia repair: A call to standardize hernia recurrence nomenclature and severity classification.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
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Authors and funding
7 authors.
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Abstract
Introduction: To compare laparoscopic and ventral hernia repair (VHR) in the last 5 years in the United States utilizing the Abdominal Core Health Quality Collaborative (ACHQC) database. Materials and Methods: A retrospective review of prospectively collected data from the ACHQC database was performed to include all adult patients that underwent laparoscopic and robotic VHR in the last 5 years. Univariate analysis was performed to compare outcomes from laparoscopic and robotic-assisted approaches across perioperative and postoperative outcomes. Results: ACHQC database identified 11,096 patients with midline hernias who underwent VHR with mesh. The Laparoscopic group with patients from 2018 to 2023 (LAP) had 2,063 patients, and the robotic group (ROBO) had 9,033 patients. There was no difference in sex, age, BMI, DM, smoking status and COPD between groups. Median hernia width was 4 cm (IQR 2-6) in the ROBO group and 3 cm (IQR 2-5) in the LAP group (p < 0.001). Incisional hernia was higher in the ROBO group 5,259 (58%) versus 1,099 (53%) in the LAP group (p < 0.001). Recurrent hernia was more common in the ROBO group when compared with the LAP group (p < 0.001). Both groups had more permanent synthetic mesh. Retromuscular repair was higher in the ROBO group, 3,201 (37.6%) versus 68 (4.2%) in the LAP group (p < 0.001). The intraperitoneal repair was higher in the LAP group 1,363 (83%) versus 2,925 (34%) in the ROBO group (p < 0.001) Transversus Abdominis Release (TAR) was higher in the ROBO group 1,314 (14.5%) versus 5 (0.2%) in the LAP group (p < 0.001). Fascial closure was higher in the ROBO group (8,649; 96.5% versus 1,359; 67.3% in the LAP group p < 0.001). Regarding mesh fixation, regular suture was higher in the ROBO group 92% versus 61% in the LAP group (p < 0.001). Tacks (p < 0.001) was higher in the LAP group. The ROBO group had more patients with an operative time of 240+ minutes when compared with the LAP group (p < 0.001). There was no difference in 30-days readmission rates, recurrence, reoperation, overall postoperative complications, 30-day SSI, SSO, seroma and SSOPI between the groups. Conclusion: The Robotic approach was associated with more technically challenging ventral hernia repairs with low complication rates over time. However, no differences in postoperative complications were found between the groups.
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