Hybrid robotic transversus abdominis release versus open: propensity-matched analysis of 30-day outcomes

Abstract

Purpose

To examine the hospital length of stay (LOS) and 30 day outcomes of hybrid robotic transversus abdominis release (hrTAR) compared with open transversus abdominis release (oTAR).

Methods

Patients receiving hrTAR were selected from the AHSQC database and propensity matched with a contemporary cohort of oTAR patients.

Results

The cohort included 95 hrTAR and 285 oTAR patients. There was a significantly shorter median LOS in the hrTAR cohort (3 vs. 5 days, p < 0.001). The rate of surgical site occurrences in the hrTAR cohort was also lower than for oTAR (5% vs. 15%, p = 0.015). Readmission rates were not different between hrTAR and oTAR (6% vs. 8%, p = 0.65).

Conclusion

hrTAR demonstrates improved LOS compared to oTAR as well as fewer surgical site related occurrences. Further studies are needed to investigate the etiology behind the improved LOS and to confirm appropriate long-term outcomes from hybrid robotic TAR.

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Funding

No funding was received for this study from the public or private sector.

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Affiliations

Authors

Contributions

LL authors contributed equally to study design, data analysis and manuscript preparation. RJ obtained the data as a member of the AHSQC. All authors approved the final version of the manuscript.

Corresponding author

Correspondence to R. Abdu.

Ethics declarations

Availability of data and material

Individual participant data used in this study are available on request from the American Hernias Society Quality Collaborative (AHSQC).

Code availability

Not applicable.

Conflict of interest

Randy J. Janczyk, MD: Has received honoraria from Intuitive Surgical. Anthony A. Iacco, MD: Has received honoraria from Intuitive Surgical. Robert Abdu DO: Declares no conflict of interest. Andrew Vasyluk, MD: Declares no conflict of interest. Narra Reddy MD: Declares no conflict of interest. Joshua T. Halka, MD: Declares no conflict of interest. Alexander DeMare MD: Declares no conflict of interest.

Ethics approval

This study fulfilled federal requirements for exemption from institutional review board approval (HIC2016-319).

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This article does not contain any studies with human participants or animals performed by any of the authors.

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A waiver of consent was granted by the institutional review board.

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Abdu, R., Vasyluk, A., Reddy, N. et al. Hybrid robotic transversus abdominis release versus open: propensity-matched analysis of 30-day outcomes. Hernia (2020). https://doi.org/10.1007/s10029-020-02249-9

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Keywords

  • Robotic
  • Hernia
  • Transversus abdominis release
  • Ventral
  • Hybrid
  • Mesh
  • TAR
  • Abdominal wall reconstruction