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Robotic vs laparoscopic vs open ventral hernia repair: insights from a network meta-analysis of randomized clinical trials

10 December 2025
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BJSA
BJS Academy
0000-0000
BJS Foundation Limited
London, UK
Soares GAR, Filho JRO, Bregion PB, Juca RH, Barbosa LM, Silva ROS et al.
J Am Coll Surg 2025: 241: 550-563
Thirty-four trials were included with 3779 procedures. The laparoscopic approach reduced hospital stay by a mean of 2.2 days, and wound infections (relative risk 0.29, 95 per cent confidence interval 0.21 to 0.41). The robotic approach took longer by a mean 49 min.
Comment: The laparoscopic approach was a key step change, but is the robot a step too far (and is it affordable)?
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