{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T14:57:48Z","timestamp":1790607468104,"version":"4.1.0"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Robotic-assisted ventral hernia repair has expanded over the last decade, largely driven by the widespread adoption of the da Vinci platform. Although this system offers advantages in visualization, precision, and dexterity, concerns regarding cost, accessibility, and platform design have stimulated the development of alternative robotic systems. However, evidence evaluating the clinical implementation and technological impact of these emerging platforms in abdominal wall surgery remains limited. We conducted a systematic review to assess new robotic platforms used for ventral hernia repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This mixed-methods systematic review was conducted in accordance with PRISMA 2020 guidelines. Studies reporting robotic ventral hernia repair performed using non-da Vinci platforms were included. PubMed\/MEDLINE, Embase, LILACS, Cochrane Library, SciELO, and Web of Science were systematically searched from database inception to July 2025. Qualitative thematic synthesis served as the primary analysis, complemented by descriptive evaluation of perioperative clinical outcomes. Extracted data included study characteristics, robotic platform, surgical approach, operative and docking times, postoperative complications, conversion, and length of hospital stay. Due to clinical and methodological heterogeneity, quantitative meta-analysis was not performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>From 218 records identified, 10 studies (6 case series, 3 case reports, and 1 cohort), comprising 95 patients, met inclusion criteria. Three robotic platforms were evaluated: Hugo, Versius, and SSI Mantra. Qualitative synthesis identified consistent domains influencing platform adoption, primarily related to intrinsic robot strengths and limitations, surgeon\u2013robot interaction, intraoperative characteristics, and economic considerations. A secondary qualitative analysis further contextualized these findings within ventral hernia surgery, highlighting domains related to abdominal wall reconstruction, mesh-based repair, workflow adaptability, and learning-curve progression. Across studies, emerging platforms demonstrated clinical feasibility with four conversions reported overall (3 in Hugo and 1 in Versius). Operative time ranged from 39 to 450 minutes, while docking time varied from 10 to 30 minutes. Perioperative outcomes were generally favorable, with isolated complications reported, including seroma, hematoma, urinary retention, wound infection, and drain-related complications, and no recurrences observed during short-term follow-up (7\u2013310 days).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>New robotic platforms for ventral hernia repair demonstrate early clinical feasibility with favorable short-term outcomes. Current evidence remains limited, and further prospective comparative studies are required to clarify their role in robotic abdominal wall surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429261490774","type":"journal-article","created":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T02:08:36Z","timestamp":1790388516000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["New Frontiers in Robotic Ventral Hernia Repair: A Qualitative Systematic Review of Robotic Approaches Other than Da Vinci"],"prefix":"10.1177","author":[{"given":"Gabriela","family":"Lyons","sequence":"first","affiliation":[{"name":"Centro Universit\u00e1rio Souza Marques, Rio de Janeiro, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara","family":"Avelar Mendes de Vasconcellos","sequence":"additional","affiliation":[{"name":"Est\u00e1cio de S\u00e1 University\/IDOMED - Vista Carioca Campus, Rio de Janeiro, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thiago","family":"Souza e Silva","sequence":"additional","affiliation":[{"name":"Real Hospital Portugu\u00eas, Recife, Brasil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana","family":"de Macedo Torves","sequence":"additional","affiliation":[{"name":"Vale do Rio dos Sinos University (UNISINOS), S\u00e3o Leopoldo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiza","family":"da Silva de Carvalho","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Nogueira","sequence":"additional","affiliation":[{"name":"Montefiore Medical Center, Bronx, New York, USA."},{"name":"School of Medicine, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leandro","family":"Totti Cavazzola","sequence":"additional","affiliation":[{"name":"School of Medicine, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7383-1284","authenticated-orcid":false,"given":"Diego","family":"Lima","sequence":"additional","affiliation":[{"name":"Montefiore Medical Center, Bronx, New York, USA."},{"name":"School of Medicine, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flavio","family":"Malcher","sequence":"additional","affiliation":[{"name":"Department of Surgery, Lenox Hill Hospital, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijawhs.IJAWHS_18_23"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/jaws.2024.12701"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-025-12598-9"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm13081233"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-024-08564-6"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-025-03118-2"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/15586898241257546"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/16094069231205789"},{"key":"e_1_3_2_11_1","unstructured":"10.Covidence. Covidence - Better systematic review management. Available from: https:\/\/www.covidence.org\/ [Last accessed: November30 2025]."},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBISRIR-D-19-00099"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-025-12413-w"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpsurg.2025.101857"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-024-03291-2"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-022-01451-4"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.4103\/jmas.jmas_193_23"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.4103\/jmas.jmas_344_23"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-024-10865-0"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2024-264022"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-025-02135-y"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-024-01873-9"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-009-0518-x"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.18911"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs5.50235"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-011-1936-2"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-025-02401-6"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004964"},{"key":"e_1_3_2_29_1","unstructured":"28.Medtronic - MITG. A Prospective Multi-center Single-arm Study of the Medtronic HugoTM Robotic Assisted Surgery (RAS) System in Inguinal and Ventral Hernia Repair Surgery (Enable Hernia). clinicaltrials.gov; 2025. Report No.: NCT06445504. Available from: https:\/\/clinicaltrials.gov\/study\/NCT06445504 [Last accessed: April16 2026]."}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429261490774","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10926429261490774","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429261490774","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T14:17:18Z","timestamp":1790605038000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10926429261490774"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,25]]},"references-count":28,"alternative-id":["10.1177\/10926429261490774"],"URL":"https:\/\/doi.org\/10.1177\/10926429261490774","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,25]]},"article-number":"10926429261490774"}}