{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T02:27:02Z","timestamp":1792808822480,"version":"4.5.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,4,13]],"date-time":"2021-04-13T00:00:00Z","timestamp":1618272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,4,13]],"date-time":"2021-04-13T00:00:00Z","timestamp":1618272000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>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\u2009\u00b1 1.9\u00a0days versus 9.6\u2009\u00b1 8.4\u00a0days 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\u00a0days 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.<\/jats:p>","DOI":"10.1038\/s41598-021-86093-6","type":"journal-article","created":{"date-parts":[[2021,4,13]],"date-time":"2021-04-13T10:05:57Z","timestamp":1618308357000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Comparisons of abdominal wall reconstruction for ventral hernia repairs, open versus robotic"],"prefix":"10.1038","volume":"11","author":[{"given":"Barbara","family":"Nguyen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan","family":"David","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teisha","family":"Shiozaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kensey","family":"Gosch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. Brent","family":"Sorensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,4,13]]},"reference":[{"issue":"5","key":"86093_CR1","doi-asserted-by":"publisher","first-page":"709","DOI":"10.1016\/j.amjsurg.2012.02.008","volume":"204","author":"YW Novitsky","year":"2012","unstructured":"Novitsky, Y. W. et al. Transversus abdominis muscle release: A novel approach to posterior component separation during complex abdominal wall reconstruction. Am. J. Surg. 204(5), 709\u2013716 (2012).","journal-title":"Am. J. Surg."},{"key":"86093_CR2","first-page":"1","volume":"20","author":"I Belyansky","year":"2017","unstructured":"Belyansky, I. et al. The trend toward minimally invasive complex abdominal wall reconstruction: Is it worth it?. Surg. Endosc. 20, 1\u20137 (2017).","journal-title":"Surg. Endosc."},{"issue":"4","key":"86093_CR3","doi-asserted-by":"publisher","first-page":"606","DOI":"10.1016\/j.jamcollsurg.2014.12.055","volume":"220","author":"WS Cobb","year":"2015","unstructured":"Cobb, W. S. et al. Open retromuscular mesh repair of complex incisional hernia: Predictors of wound events and recurrence. J. Am. Coll. Surg. 220(4), 606\u2013613 (2015).","journal-title":"J. Am. Coll. Surg."},{"issue":"1","key":"86093_CR4","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1097\/SLA.0000000000001701","volume":"265","author":"MK Liang","year":"2017","unstructured":"Liang, M. K. et al. Ventral hernia management: Expert consensus guided by systematic review. Ann. Surg. 265(1), 80\u201389 (2017).","journal-title":"Ann. Surg."},{"issue":"5","key":"86093_CR5","doi-asserted-by":"publisher","first-page":"1111","DOI":"10.1016\/j.suc.2013.06.010","volume":"93","author":"EM Pauli","year":"2013","unstructured":"Pauli, E. M. & Rosen, M. J. Open ventral hernia repair with component separation. Surg. Clin. N. Am. 93(5), 1111\u20131133 (2013).","journal-title":"Surg. Clin. N. Am."},{"issue":"2","key":"86093_CR6","doi-asserted-by":"publisher","first-page":"727","DOI":"10.1007\/s00464-017-5729-0","volume":"32","author":"JG Bitner 4th","year":"2018","unstructured":"Bitner, J. G. 4th. et al. Comparative analysis of open and robotic transversus abdominis release for ventral hernia repair. Surg. Endosc. 32(2), 727\u2013734 (2018).","journal-title":"Surg. Endosc."},{"issue":"2","key":"86093_CR7","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1097\/SLA.0000000000002244","volume":"267","author":"AF Carbonell","year":"2018","unstructured":"Carbonell, A. F. et al. Reducing length of stay using a robotic-assisted approach for retromuscular ventral hernia repair: A comparative analysis from the Americas Hernia Society Quality Collaboration. Ann. Surg. 267(2), 210\u2013217 (2018).","journal-title":"Ann. 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Comparative analysis of perioperative outcomes of robotic versus open transversus abdominis release. Surg. Endosc. 32(2), 840\u2013845 (2018).","journal-title":"Surg. 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