There is strong evidence that robotic abdominal wall reconstruction (AWR) reduces length of stay and postoperative complications. Despite this, it remains significantly limited in publicly funded healthcare systems due to reported costs and limited access to robotic surgical platforms.
Cases were reviewed from a prospectively maintained database of AWR patients in a single unit undergoing Robotic Rives-Stoppa repair or open Rives-Stoppa repair. A prospectively maintained database was accessed and analysed. Data analysed included demographics, comorbidities, hernia characteristics, operative times and surgical outcomes. Cost analysis was performed based on length of stay, critical care bed days, and cost of consumables.
Data were collected from 28 robotic Rives-Stoppa repairs and 18 open Rives-Stoppa repairs. There was no difference in operative time between the two groups (199 min vs. 186 min,
Our series demonstrates that robotic Rives-Stoppa AWR can be delivered in a safe manner with financial savings and equivalent operative time compared with open surgery.