Prospective, multicenter, pairwise analysis of robotic-assisted inguinal hernia repair with open and laparoscopic inguin
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ORIGINAL ARTICLE
Prospective, multicenter, pairwise analysis of robotic‑assisted inguinal hernia repair with open and laparoscopic inguinal hernia repair: early results from the Prospective Hernia Study K. LeBlanc1 · E. Dickens2 · A. Gonzalez3 · R. Gamagami4 · R. Pierce5 · C. Balentine6 · G. Voeller7 on behalf of The Prospective Hernia Study Group Received: 22 December 2019 / Accepted: 20 May 2020 © Springer-Verlag France SAS, part of Springer Nature 2020
Abstract Purpose To evaluate and compare peri-operative outcomes through 30 days, including pain and quality of life (QOL) through 3 months across three cohorts of inguinal hernia repair (IHR) patients (robotic-assisted, laparoscopic, and open IHR). Methods The Prospective Hernia Study is an ongoing, multicenter, comparative, open-label analysis of clinical and patientreported outcomes from robotic-assisted surgery (RAS) versus open and RAS versus laparoscopic IHR procedures. Patient responses to the Carolinas Comfort Scale (CCS) questionnaire provided QOL outcomes. Results 504 enrolled patients underwent unilateral or bilateral IHR (RAS, n = 159; open, n = 190; laparoscopic, n = 155) at 17 medical institutions from May 2016 through December 2018. Propensity score matching provided a balanced comparison: RAS versus open (n = 112 each) and RAS versus laparoscopic (n = 80 each). Overall, operative times were significantly different between the RAS and laparoscopic cases (83 vs. 65 min; p
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