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REVIEW

J. Abdom. Wall Surg.
Volume 3 - 2024 | doi: 10.3389/jaws.2024.13809
This article is part of the Special Issue Minimally Invasive Repair of Ventral and Incisional Hernias (ipom, e-TEP, v-TAPP, MILOS, etc) View all 5 articles

Laparoscopic versus Robotic ventral hernia repair with intraperitoneal mesh: a systematic review and meta-analysis comparing the perioperative outcomes randomised controlled trials

Anurag Singh Anurag Singh 1,2*Wei Han Toh Wei Han Toh 3Nada Elzahed Nada Elzahed 3Goldie Khera Goldie Khera 3Mirza K Baig Mirza K Baig 4Andrei Mihailescu Andrei Mihailescu 2Muhammad S Sajid Muhammad S Sajid 3
  • 1 Health Education North West, Manchester, United Kingdom
  • 2 Tameside Hospital NHS Foundation Trust, Ashton-under-Lyne, United Kingdom
  • 3 Royal Sussex County Hospital, Brighton, United Kingdom
  • 4 Worthing Hospital, Worthing, England, United Kingdom

The final, formatted version of the article will be published soon.

    The objective of this meta-analysis is to compare the perioperative surgical outcomes and cost-effectiveness of robotic ventral hernia repair (RVHR) versus laparoscopic ventral hernia repair (LVHR) with intraperitoneal mesh.Randomised control trials (RCTs) reporting perioperative outcomes and costs in patients undergoing RVHR versus LVHR were selected from medical electronic databases and metaanalysis was conducted in accordance with the guidelines of the Cochrane Collaboration using statistical software RevMan version 5.Four RCTs on 337 patients reporting perioperative outcomes and cost comparison were included. In the random effect model analysis, the duration of operation was shorter, and cost was lower in the LVHR group but with significant statistical heterogeneity [standardized mean difference (SMD) -48.07, 95%, CI (-78.06, -18.07), Z = 3.14, P = 0.002], [SMD 0.82, 95%,), Z = 2.45, P = 0.01]. However, the variables of hernia recurrence and surgical site complications were statistically similar in both groups without any statistical heterogeneity among the included studies [Risk Ratio (RR) 1.05, 95%, CI (0.22, 4.99), Z = 0.06, P = 0.95], [RR 0.85, 95%, CI (0.48, 1.50), Z = 0.55, P = 0.58].This systematic review demonstrates that RVHR does not offer any superiority among the compared perioperative variables (Duration of operation, hernia recurrence and surgical site complications) and it is not cost-effective when compared to LVHR. Due to the paucity of the

    Keywords: Laparoscopic Ventral hernia repair, robotic ventral hernia repair, Perioperative outcomes, Cost comparison, IPOM

    Received: 15 Sep 2024; Accepted: 17 Dec 2024.

    Copyright: © 2024 Singh, Toh, Elzahed, Khera, Baig, Mihailescu and Sajid. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Anurag Singh, Health Education North West, Manchester, United Kingdom

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.