2f:I[703058,["/_next/static/immutable/chunks/3bhq_5eh1d760.js","/_next/static/immutable/chunks/1855-ogyi8eh4.js","/_next/static/immutable/chunks/2pfsjpn6k6zlg.js","/_next/static/immutable/chunks/26c7v3_3uwnwu.js","/_next/static/immutable/chunks/25a3ozcrvi1ff.js","/_next/static/immutable/chunks/2r4wx50nvjh_4.js","/_next/static/immutable/chunks/23fsw06hsi5b1.js","/_next/static/immutable/chunks/06_yt270h41rg.js","/_next/static/immutable/chunks/3ezsiz-7shkna.js","/_next/static/immutable/chunks/20x2y96ldu5wx.js","/_next/static/immutable/chunks/2lxntcm3pd1_h.js","/_next/static/immutable/chunks/00dgco8irq3jw.js","/_next/static/immutable/chunks/00nwe-kq0rboc.js","/_next/static/immutable/chunks/2051ffx3xzio9.js"],"PaperListPageClient"] 30:Ta00,The use of robotic-assisted groin hernia repair is increasing rapidly across the US, but evidence regarding its comparative effectiveness to more established laparoscopic or open approaches is limited. To compare the incidence of long-term operative hernia recurrence between robotic-assisted, laparoscopic, and open groin hernia repairs. This retrospective cohort study analyzed groin hernia repairs among Medicare beneficiaries aged 65 years and older from January 2010 to December 2021, with 5-year follow-up, using a population-based analysis of US inpatient and outpatient administrative claims. Data were analyzed between August 2024 and April 2025. Surgical approach: robotic-assisted, laparoscopic, or open groin hernia repair. The main outcome was operative recurrence up to 5 years after initial groin hernia repair. Cox proportional hazards modeling was used to estimate the risk-adjusted cumulative incidence of operative recurrence up to 5 years after the initial procedure, controlling for patient demographics, comorbidities, hernia type (inguinal or femoral), and procedure type (unilateral or bilateral). A total of 199 163 Medicare beneficiaries (mean [SD] age, 72.6 [9.3] years; 29 307 female patients [14.7%]) were included in the study. From January 2010 to December 2021, the proportion of robotic-assisted procedures increased 8.6-fold, from 0.3% to 2.6%. The proportion of open procedures decreased 0.6-fold (84.4% to 51.9%), while laparoscopic procedures increased 3.0-fold (15.3% to 45.5%). Patients undergoing robotic-assisted hernia repair had the highest 5-year risk-adjusted cumulative incidence of operative recurrence (3.78%; 95% CI, 3.76%-3.79%), followed by open (3.37%; 95% CI, 3.36%-3.37%) and laparoscopic (3.21%; 95% CI, 3.21%-3.22%) approaches. Compared to open repairs, the laparoscopic approach was associated with a lower risk of operative recurrence (hazard ratio [HR], 0.75; 95% CI, 0.66-0.86), while there was no difference in risk of operative recurrence between the open and robotic cohorts (HR, 1.29; 95% CI, 0.48-2.10). In this cohort study among Medicare beneficiaries, robotic-assisted groin hernia repair was associated with a higher long-term cumulative incidence of operative recurrence compared to open and laparoscopic approaches. With low operative recurrence rates across all surgical techniques, these findings suggest that alternative measures of clinical value may be necessary to assess the benefits of minimally invasive approaches, particularly as robotic-assisted repair continues to expand.31:Ted3, Importance The use of robotic-assisted groin hernia repair is increasing rapidly across the US, but evidence regarding its comparative effectiveness to more established laparoscopic or open approaches is limited. Objective To compare the incidence of long-term operative hernia recurrence between robotic-assisted, laparoscopic, and open groin hernia repairs. Design, Setting, and Participants This retrospective cohort study analyzed groin hernia repairs among Medicare beneficiaries aged 65 years and older from January 2010 to December 2021, with 5-year follow-up, using a population-based analysis of US inpatient and outpatient administrative claims. Data were analyzed between August 2024 and April 2025. Exposure Surgical approach: robotic-assisted, laparoscopic, or open groin hernia repair. Main Outcomes and Measures The main outcome was operative recurrence up to 5 years after initial groin hernia repair. Cox proportional hazards modeling was used to estimate the risk-adjusted cumulative incidence of operative recurrence up to 5 years after the initial procedure, controlling for patient demographics, comorbidities, hernia type (inguinal or femoral), and procedure type (unilateral or bilateral). Results A total of 199 163 Medicare beneficiaries (mean [SD] age, 72.6 [9.3] years; 29 307 female patients [14.7%]) were included in the study. From January 2010 to December 2021, the proportion of robotic-assisted procedures increased 8.6-fold, from 0.3% to 2.6%. The proportion of open procedures decreased 0.6-fold (84.4% to 51.9%), while laparoscopic procedures increased 3.0-fold (15.3% to 45.5%). Patients undergoing robotic-assisted hernia repair had the highest 5-year risk-adjusted cumulative incidence of operative recurrence (3.78%; 95% CI, 3.76%-3.79%), followed by open (3.37%; 95% CI, 3.36%-3.37%) and laparoscopic (3.21%; 95% CI, 3.21%-3.22%) approaches. Compared to open repairs, the laparoscopic approach was associated with a lower risk of operative recurrence (hazard ratio [HR], 0.75; 95% CI, 0.66-0.86), while there was no difference in risk of operative recurrence between the open and robotic cohorts (HR, 1.29; 95% CI, 0.48-2.10). Conclusions and Relevance In this cohort study among Medicare beneficiaries, robotic-assisted groin hernia repair was associated with a higher long-term cumulative incidence of operative recurrence compared to open and laparoscopic approaches. With low operative recurrence rates across all surgical techniques, these findings suggest that alternative measures of clinical value may be necessary to assess the benefits of minimally invasive approaches, particularly as robotic-assisted repair continues to expand. 25:[[["$","script","0",{"type":"application/ld+json","dangerouslySetInnerHTML":{"__html":"{\"@context\":\"https://schema.org\",\"@type\":\"CollectionPage\",\"name\":\"Femoral Hernia: condition Research & Clinical Takeaways\",\"description\":\"Explore peer-reviewed papers on Femoral Hernia (condition). Clinician-written summaries and actionable practice insights. Updated daily.\",\"url\":\"https://www.reachrx.ai/hub/tag/condition/Femoral%20Hernia\",\"breadcrumb\":{\"@type\":\"BreadcrumbList\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https://www.reachrx.ai\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Research Hub\",\"item\":\"https://www.reachrx.ai/hub\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Conditions\",\"item\":\"https://www.reachrx.ai/hub/tag/condition\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Femoral Hernia\",\"item\":\"https://www.reachrx.ai/hub/tag/condition/Femoral%20Hernia\"}]}}"}}]],["$","$L2f",null,{"title":"Femoral Hernia: Research & Clinical Takeaways","description":"Discover peer-reviewed research on Femoral Hernia with concise clinician summaries and next-step guidance.","papers":[{"doi":"10.1001/jamasurg.2026.1126","pmid":"42054012","title":"Surgical Approach and Long-Term Operative Recurrence Following Groin Hernia Repair","journal_title":"JAMA Surgery","journal_issn":"2168-6254","published_at":"2026-04-29T00:00:00.000Z","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13130069/","source_score":31,"is_retracted":false,"is_open_access":true,"raw_metadata":{"ooir":{"day":"2026-05-06","doi":"10.1001/jamasurg.2026.1126","days":"14","issn":"2168-6254","rank":"5","field":"Clinical Medicine","score":"31","category":"Surgery","categories":["Surgery"],"_categories":["Surgery"]},"pubmed":{"doi":"10.1001/jamasurg.2026.1126","title":"Surgical Approach and Long-Term Operative Recurrence Following Groin Hernia Repair.","journal":"JAMA surgery","methods":"","results":"A total of 199 163 Medicare beneficiaries (mean [SD] age, 72.6 [9.3] years; 29 307 female patients [14.7%]) were included in the study. From January 2010 to December 2021, the proportion of robotic-assisted procedures increased 8.6-fold, from 0.3% to 2.6%. The proportion of open procedures decreased 0.6-fold (84.4% to 51.9%), while laparoscopic procedures increased 3.0-fold (15.3% to 45.5%). Patients undergoing robotic-assisted hernia repair had the highest 5-year risk-adjusted cumulative incidence of operative recurrence (3.78%; 95% CI, 3.76%-3.79%), followed by open (3.37%; 95% CI, 3.36%-3.37%) and laparoscopic (3.21%; 95% CI, 3.21%-3.22%) approaches. Compared to open repairs, the laparoscopic approach was associated with a lower risk of operative recurrence (hazard ratio [HR], 0.75; 95% CI, 0.66-0.86), while there was no difference in risk of operative recurrence between the open and robotic cohorts (HR, 1.29; 95% CI, 0.48-2.10).","abstract":"$30","keywords":[],"pubmed_id":"42054012","conclusions":"","publication_date":"2026-04-29T00:00:00"},"crossref":{"DOI":"10.1001/jamasurg.2026.1126","URL":"https://doi.org/10.1001/jamasurg.2026.1126","ISSN":["2168-6254"],"link":[{"URL":"https://jamanetwork.com/journals/jamasurgery/articlepdf/2847964/jamasurgery_niba_2026_oi_260020_1776103854.48082.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"page":null,"type":"journal-article","issue":null,"score":1,"title":["Surgical Approach and Long-Term Operative Recurrence Following Groin Hernia Repair"],"author":[{"given":"Vanessa S.","family":"Niba","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Michigan, Ann Arbor"},{"name":"Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor"},{"name":"Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor"},{"name":"National Clinical Scholars Program, University of Michigan, Ann Arbor"}]},{"given":"Ryan A.","family":"Howard","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Michigan, Ann Arbor"},{"name":"Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor"},{"name":"Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor"}]},{"given":"Jyothi","family":"Thumma","sequence":"additional","affiliation":[{"name":"Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor"}]},{"given":"Edward C.","family":"Norton","sequence":"additional","affiliation":[{"name":"Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor"},{"name":"Department of Health Management and Policy, University of Michigan, Ann Arbor"},{"name":"Department of Economics, University of Michigan, Ann Arbor"}]},{"given":"Justin B.","family":"Dimick","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Michigan, Ann Arbor"},{"name":"Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor"},{"name":"Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor"}]},{"given":"Kyle","family":"Sheetz","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Michigan, Ann Arbor"},{"name":"Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor"},{"name":"Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor"}]}],"issued":{"date-parts":[[2026,4,29]]},"member":"10","prefix":"10.1001","source":"Crossref","volume":null,"created":{"date-time":"2026-04-29T15:30:57Z","timestamp":1777476657000,"date-parts":[[2026,4,29]]},"indexed":{"date-time":"2026-05-02T23:53:16Z","timestamp":1777765996289,"date-parts":[[2026,5,2]]},"subject":[],"abstract":"$31","language":"en","relation":{},"resource":{"primary":{"URL":"https://jamanetwork.com/journals/jamasurgery/fullarticle/2847964"}},"subtitle":[],"deposited":{"date-time":"2026-04-29T15:30:58Z","timestamp":1777476658000,"date-parts":[[2026,4,29]]},"issn-type":[{"type":"print","value":"2168-6254"}],"published":{"date-parts":[[2026,4,29]]},"publisher":"American Medical Association (AMA)","reference":[{"DOI":"10.1001/jamanetworkopen.2019.18911","key":"soi260020r1","year":"2020","issue":"1","author":"Sheetz","volume":"3","first-page":null,"unstructured":null,"article-title":"Trends in the adoption of robotic surgery for common surgical procedures.","journal-title":"JAMA Netw Open","doi-asserted-by":"publisher"},{"DOI":"10.1001/jamanetworkopen.2023.15052","key":"soi260020r2","year":"2023","issue":"5","author":"Bonner","volume":"6","first-page":null,"unstructured":null,"article-title":"Trends in use of robotic surgery for privately insured patients and Medicare fee-for-service beneficiaries.","journal-title":"JAMA Netw Open","doi-asserted-by":"publisher"},{"DOI":"10.1089/end.2013.0344","key":"soi260020r3","year":"2014","issue":"2","author":"Lusch","volume":"28","first-page":"261","unstructured":null,"article-title":"Evaluation of the impact of three-dimensional vision on laparoscopic performance.","journal-title":"J Endourol","doi-asserted-by":"publisher"},{"DOI":"10.1007/s00464-019-07161-7","key":"soi260020r4","year":"2020","issue":"1","author":"Hislop","volume":"34","first-page":"31","unstructured":null,"article-title":"Muscle activation during traditional laparoscopic surgery compared with robot-assisted laparoscopic surgery: a meta-analysis.","journal-title":"Surg Endosc","doi-asserted-by":"publisher"},{"DOI":"10.1097/SLA.0000000000002845","key":"soi260020r5","year":"2020","issue":"1","author":"Dalsgaard","volume":"271","first-page":"106","unstructured":null,"article-title":"Robotic surgery is less physically demanding than laparoscopic surgery: paired cross sectional study.","journal-title":"Ann Surg","doi-asserted-by":"publisher"},{"DOI":"10.1007/s00464-018-6478-4","key":"soi260020r6","year":"2019","issue":"6","author":"Zárate Rodriguez","volume":"33","first-page":"1938","unstructured":null,"article-title":"Ergonomic analysis of laparoscopic and robotic surgical task performance at various experience levels.","journal-title":"Surg Endosc","doi-asserted-by":"publisher"},{"DOI":"10.1016/j.surg.2023.11.033","key":"soi260020r7","year":"2024","issue":"4","author":"Lima","volume":"175","first-page":"1071","unstructured":null,"article-title":"Current trends and outcomes for unilateral groin hernia repairs in the United States using the Abdominal Core Health Quality Collaborative database: a multicenter propensity score matching analysis of 30-day and 1-year outcomes.","journal-title":"Surgery","doi-asserted-by":"publisher"},{"DOI":"10.1007/s10029-020-02224-4","key":"soi260020r8","year":"2020","issue":"5","author":"LeBlanc","volume":"24","first-page":"1069","unstructured":null,"article-title":"Prospective, multicenter, pairwise analysis of robotic-assisted inguinal hernia repair with open and laparoscopic inguinal hernia repair: early results from the Prospective Hernia Study.","journal-title":"Hernia","doi-asserted-by":"publisher"},{"DOI":"10.1007/s00464-022-09805-7","key":"soi260020r9","year":"2023","issue":"4","author":"Varvoglis","volume":"37","first-page":"2923","unstructured":null,"article-title":"Comparison of post-operative outcomes of large direct inguinal hernia repairs based on operative approach (open vs. laparoscopic vs. robotic) using the ACHQC (Abdominal Core Health Quality Collaborative) database.","journal-title":"Surg Endosc","doi-asserted-by":"publisher"},{"DOI":"10.1016/j.surg.2022.06.051","key":"soi260020r10","year":"2023","issue":"3","author":"Read","volume":"173","first-page":"718","unstructured":null,"article-title":"Analysis of temporal trends in robotic surgery costs using the outpatient inguinal hernia repair model.","journal-title":"Surgery","doi-asserted-by":"publisher"},{"DOI":"10.1016/j.jss.2019.03.046","key":"soi260020r11","year":"2019","issue":null,"author":"Huerta","volume":"241","first-page":"119","unstructured":null,"article-title":"Open, laparoscopic, and robotic inguinal hernia repair: outcomes and predictors of complications.","journal-title":"J Surg Res","doi-asserted-by":"publisher"},{"DOI":"10.1007/s00464-020-08211-1","key":"soi260020r12","year":"2021","issue":"12","author":"Tatarian","volume":"35","first-page":"7209","unstructured":null,"article-title":"Comparative perioperative and 5-year outcomes of robotic and laparoscopic or open inguinal hernia repair: a study of 153,727 patients in the state of New York.","journal-title":"Surg Endosc","doi-asserted-by":"publisher"},{"DOI":"10.1016/j.jclinepi.2007.11.008","key":"soi260020r13","year":"2008","issue":"4","author":"von Elm","volume":"61","first-page":"344","unstructured":null,"article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies.","journal-title":"J Clin Epidemiol","doi-asserted-by":"publisher"},{"DOI":"10.1001/jamasurg.2014.177","key":"soi260020r14","year":"2014","issue":"8","author":"Andresen","volume":"149","first-page":"853","unstructured":null,"article-title":"Reoperation rates for laparoscopic vs open repair of femoral hernias in Denmark: a nationwide analysis.","journal-title":"JAMA Surg","doi-asserted-by":"publisher"},{"DOI":"10.1007/s00464-022-09586-z","key":"soi260020r15","year":"2023","issue":"6","author":"Ehlers","volume":"37","first-page":"4818","unstructured":null,"article-title":"Five year trends in surgical technique and outcomes of groin hernia repair in the United States.","journal-title":"Surg Endosc","doi-asserted-by":"publisher"},{"DOI":"10.1001/jama.2022.0744","key":"soi260020r16","year":"2022","issue":"9","author":"Howard","volume":"327","first-page":"872","unstructured":null,"article-title":"Reoperation for recurrence up to 10 years after hernia repair.","journal-title":"JAMA","doi-asserted-by":"publisher"},{"DOI":"10.1007/s00464-019-06695-0","key":"soi260020r17","year":"2019","issue":"12","author":"Vu","volume":"33","first-page":"4032","unstructured":null,"article-title":"Mechanisms of age and race differences in receiving minimally invasive inguinal hernia repair.","journal-title":"Surg Endosc","doi-asserted-by":"publisher"},{"DOI":"10.1001/jamasurg.2024.1696","key":"soi260020r18","year":"2024","issue":"9","author":"Fry","volume":"159","first-page":"1019","unstructured":null,"article-title":"Surgical approach and long-term recurrence after ventral hernia repair.","journal-title":"JAMA Surg","doi-asserted-by":"publisher"},{"DOI":"10.1007/s10029-021-02419-3","key":"soi260020r19","year":"2022","issue":"3","author":"Holleran","volume":"26","first-page":"889","unstructured":null,"article-title":"Trends and outcomes of open, laparoscopic, and robotic inguinal hernia repair in the Veterans Affairs system.","journal-title":"Hernia","doi-asserted-by":"publisher"},{"DOI":null,"key":"soi260020r20","year":"1995","issue":"3","author":"Teplensky","volume":"30","first-page":"437","unstructured":null,"article-title":"Hospital adoption of medical technology: an empirical test of alternative models.","journal-title":"Health Serv Res","doi-asserted-by":null},{"DOI":"10.1111/1475-6773.00124","key":"soi260020r21","year":"2003","issue":"1 Pt 2","author":"Devers","volume":"38","first-page":"447","unstructured":null,"article-title":"Changes in hospital competitive strategy: a new medical arms race?","journal-title":"Health Serv Res","doi-asserted-by":"publisher"},{"DOI":"10.1097/SLA.0b013e3182a5c8b8","key":"soi260020r22","year":"2014","issue":"1","author":"Barbash","volume":"259","first-page":"1","unstructured":null,"article-title":"Factors associated with adoption of robotic surgical technology in US hospitals and relationship to radical prostatectomy procedure volume.","journal-title":"Ann Surg","doi-asserted-by":"publisher"},{"DOI":"10.1016/j.hlpt.2019.10.005","key":"soi260020r23","year":"2019","issue":"4","author":"Hofmann","volume":"8","first-page":"377","unstructured":null,"article-title":"Biases and imperatives in handling medical technology.","journal-title":"Health Policy Technol","doi-asserted-by":"publisher"},{"DOI":"10.1016/j.jss.2022.05.008","key":"soi260020r24","year":"2022","issue":null,"author":"Delaney","volume":"279","first-page":"52","unstructured":null,"article-title":"Surgeon variation in the application of robotic technique for abdominal hernia repair: a mixed-methods study.","journal-title":"J Surg Res","doi-asserted-by":"publisher"},{"DOI":"10.1001/jama.2017.13696","key":"soi260020r25","year":"2017","issue":"16","author":"Wright","volume":"318","first-page":"1545","unstructured":null,"article-title":"Robotic-assisted surgery: balancing evidence and implementation.","journal-title":"JAMA","doi-asserted-by":"publisher"},{"DOI":"10.1007/s00464-015-4327-2","key":"soi260020r26","year":"2016","issue":"3","author":"Altieri","volume":"30","first-page":"925","unstructured":null,"article-title":"Robotic approaches may offer benefit in colorectal procedures, more controversial in other areas: a review of 168,248 cases.","journal-title":"Surg Endosc","doi-asserted-by":"publisher"},{"DOI":"10.1245/s10434-015-5062-6","key":"soi260020r27","year":"2016","issue":"7","author":"Leitao","volume":"23","first-page":"2192","unstructured":null,"article-title":"Impact of robotic platforms on surgical approach and costs in the management of morbidly obese patients with newly diagnosed uterine cancer.","journal-title":"Ann Surg Oncol","doi-asserted-by":"publisher"},{"DOI":"10.1001/jamasurg.2024.0016","key":"soi260020r28","year":"2024","issue":"5","author":"Lunardi","volume":"159","first-page":"493","unstructured":null,"article-title":"Robotic technology in emergency general surgery cases in the era of minimally invasive surgery.","journal-title":"JAMA Surg","doi-asserted-by":"publisher"},{"DOI":"10.1097/SLA.0b013e318254f5b9","key":"soi260020r29","year":"2012","issue":"6","author":"Helgstrand","volume":"256","first-page":"955","unstructured":null,"article-title":"Reoperation versus clinical recurrence rate after ventral hernia repair.","journal-title":"Ann Surg","doi-asserted-by":"publisher"},{"DOI":"10.1002/14651858.CD004703.pub3","key":"soi260020r30","year":"2024","issue":"7","author":"Andresen","volume":"7","first-page":null,"unstructured":null,"article-title":"Transabdominal pre-peritoneal (TAPP) versus totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair.","journal-title":"Cochrane Database Syst Rev","doi-asserted-by":"publisher"},{"DOI":"10.1371/journal.pone.0054367","key":"soi260020r31","year":"2013","issue":"1","author":"Burcharth","volume":"8","first-page":null,"unstructured":null,"article-title":"Nationwide prevalence of groin hernia repair.","journal-title":"PLoS One","doi-asserted-by":"publisher"},{"DOI":"10.1001/jamanetworkopen.2024.48521","key":"soi260020r32","year":"2024","issue":"12","author":"Loh","volume":"7","first-page":null,"unstructured":null,"article-title":"Learning curves for robotic-assisted ventral hernia repair.","journal-title":"JAMA Netw Open","doi-asserted-by":"publisher"}],"short-title":[],"content-domain":{"domain":[],"crossmark-restriction":false},"original-title":[],"container-title":["JAMA Surgery"],"reference-count":32,"published-online":{"date-time":null,"timestamp":null,"date-parts":[[2026,4,29]]},"references-count":32,"short-container-title":["JAMA Surg"],"is-referenced-by-count":0},"unpaywall":{"doi":"10.1001/jamasurg.2026.1126","is_oa":true,"title":"Surgical Approach and Long-Term Operative Recurrence Following Groin Hernia Repair","updated":"2026-05-04T08:56:22+00:00","published_date":"2026-04-29","best_oa_location":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13130069/","pmh_id":"oai:pubmedcentral.nih.gov:13130069","url_for_pdf":null,"url_for_landing_page":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13130069/"}}},"created_at":"2026-05-07T22:49:23.106Z","updated_at":"2026-05-14T15:13:26.918Z","tags":[{"paper_doi":"10.1001/jamasurg.2026.1126","tag_type":"age_group","value":"older_adult","value_numeric":null},{"paper_doi":"10.1001/jamasurg.2026.1126","tag_type":"category","value":"Surgery","value_numeric":null},{"paper_doi":"10.1001/jamasurg.2026.1126","tag_type":"condition","value":"Femoral Hernia","value_numeric":null},{"paper_doi":"10.1001/jamasurg.2026.1126","tag_type":"condition","value":"Groin Hernia","value_numeric":null},{"paper_doi":"10.1001/jamasurg.2026.1126","tag_type":"condition","value":"Inguinal Hernia","value_numeric":null},{"paper_doi":"10.1001/jamasurg.2026.1126","tag_type":"impact_flag","value":"confirms_prior","value_numeric":null},{"paper_doi":"10.1001/jamasurg.2026.1126","tag_type":"level_of_evidence","value":"3","value_numeric":null},{"paper_doi":"10.1001/jamasurg.2026.1126","tag_type":"modality","value":"Laparoscopic Surgery","value_numeric":null},{"paper_doi":"10.1001/jamasurg.2026.1126","tag_type":"modality","value":"Open Surgery","value_numeric":null},{"paper_doi":"10.1001/jamasurg.2026.1126","tag_type":"modality","value":"Robotic-Assisted Surgery","value_numeric":null},{"paper_doi":"10.1001/jamasurg.2026.1126","tag_type":"sample_size","value":"n=199,163","value_numeric":199163},{"paper_doi":"10.1001/jamasurg.2026.1126","tag_type":"sex","value":"mixed","value_numeric":null},{"paper_doi":"10.1001/jamasurg.2026.1126","tag_type":"study_design","value":"Retrospective Cohort Study","value_numeric":null},{"paper_doi":"10.1001/jamasurg.2026.1126","tag_type":"warning","value":"Operative recurrence (requiring reoperation) likely underestimates true clinical recurrence, which includes non-operative cases.","value_numeric":null},{"paper_doi":"10.1001/jamasurg.2026.1126","tag_type":"warning","value":"The robotic vs. open hazard ratio (HR 1.29; 95% CI 0.48–2.10) crosses 1.0 and is not statistically significant, so the higher recurrence rate for robotic repair should be interpreted cautiously — the wide CI reflects the small proportion of robotic cases.","value_numeric":null},{"paper_doi":"10.1001/jamasurg.2026.1126","tag_type":"warning","value":"The study population is exclusively Medicare beneficiaries aged ≥65; generalizability to younger or privately insured populations is limited.","value_numeric":null}],"summaries":{"what_studied":"This retrospective cohort study compared 5-year operative hernia recurrence rates among Medicare beneficiaries (≥65 years) undergoing robotic-assisted, laparoscopic, or open groin hernia repair using US administrative claims data from January 2010 to December 2021 (n=199,163).","key_result":"Laparoscopic repair had the lowest 5-year risk-adjusted cumulative recurrence (3.21%), followed by open (3.37%) and robotic-assisted (3.78%). Compared to open, laparoscopic repair reduced recurrence risk (HR 0.75; 95% CI 0.66–0.86), while robotic-assisted showed no statistically significant difference from open (HR 1.29; 95% CI 0.48–2.10). Robotic use grew 8.6-fold (0.3% → 2.6%) from 2010 to 2021.","limitations":"- Administrative claims data cannot capture all clinical nuances (e.g., surgeon experience, hernia complexity, or non-operative recurrences).\n- Study is limited to Medicare beneficiaries aged ≥65, so findings may not generalize to younger patients.\n- Robotic-assisted cases represented a very small proportion of procedures, which may explain the wide confidence interval and statistical non-significance for the robotic vs. open comparison.","practice_takeaway":"Laparoscopic groin hernia repair remains associated with the lowest operative recurrence risk in older adults. Given the rapid growth of robotic-assisted repair and its numerically higher recurrence rate (though not statistically superior to open), surgeons should weigh cost and clinical value carefully before defaulting to robotic approaches for groin hernias."}}],"initialOffset":1,"fetchConfig":{"kind":"tags","tags":[{"tag_type":"condition","value":"Femoral Hernia"}]},"breadcrumbItems":[{"name":"Home","href":"/"},{"name":"Research Hub","href":"/hub"},{"name":"Conditions","href":"/hub/tag/condition"},{"name":"Femoral Hernia"}],"hrefConfig":{"basePath":"/hub/papers","webViewQueryParams":{"hub_ctx":"tag","hub_tag_type":"condition","hub_tag_value":"Femoral Hernia"}}}]]

Papers