Robotic Inguinal Hernia Repair Outcomes: Operative Time and Cost Analysis.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
Morcos A AwadMohsen M Shabahang

Abstract

Robotic inguinal hernia repair is the latest iteration of minimally invasive herniorrhaphy. Previous studies have shown expedited learning curves compared to traditional laparoscopy, which may be offset by higher cost and longer operative time. We sought to compare operative time and direct cost across the evolving surgical practice of 10 surgeons in our healthcare system. This is a retrospective review of all transabdominal preperitoneal robotic inguinal hernia repairs performed by 10 general surgeons from July 2015 to September 2018. Patients requiring conversion to an open procedure or undergoing simultaneous procedures were excluded. The data was divided to compare each surgeon's initial 20 cases to their subsequent cases. Direct operative cost was calculated based on the sum of supplies used intra-operatively. Multivariate analysis, using a generalized estimating equation, was adjusted for laterality and resident involvement to evaluate outcomes. Robotic inguinal hernia repairs were divided into two groups: early experience (n = 167) and late experience (n = 262). The late experience had a shorter mean operative time by 17.6 min (confidence interval: 4.06 - 31.13, p = 0.011), a lower mean direct operative cost by $538.17 (...Continue Reading

Citations

Apr 29, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·T J HolleranF J Brody
Jun 12, 2021·International Journal of General Medicine·Jiang YangLi Hong

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Methods Mentioned

BETA
hysterectomy
dissection

Software Mentioned

SAS®

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