Network meta-analysis of robotic ventral and incisional hernia repair techniques: intraperitoneal, preperitoneal, retromuscular, and sublay approaches.
Ibrahim Moqbel, Mohamed Basyouni Helal, Ahmed Hamada Abourageh et al.
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In 30 seconds
This network meta-analysis evaluated the efficacy and safety of various robotic ventral and incisional hernia repair techniques in 9,348 adults. The study found that preperitoneal approaches, particularly rTEP-RM and rTAPP, demonstrated better early postoperative outcomes compared to rIPOM, with lower complication rates and shorter hospital stays. The analysis included 14 studies, comprising 2 randomized trials and 12 retrospective cohorts.
Key findings
- rTEP-RM and rTAPP had lower overall complications compared to rIPOM, with RR 0.23 and RR 0.55, respectively.
- rTEP-RM was associated with a shorter length of stay, with an MD of -5.33 days.
- Surgical site infections were lower with rRS (RR 0.11) and rTAPP (RR 0.32).
- Pooled preperitoneal approaches showed lower short-term recurrence and 30-day readmission rates.
Why it matters
Understanding the comparative effectiveness of robotic hernia repair techniques can guide surgical decision-making, potentially improving patient outcomes and resource utilization in surgical practice.
What to keep in mind
The certainty of evidence was mostly low or very low, which may affect the reliability of the findings.