• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Predictors of Robotic Versus Laparoscopic Inguinal Hernia Repair

Predictors of Robotic Versus Laparoscopic Inguinal Hernia Repair

John D Vossler, MD, MS, MBA1, Keano Pavlosky, MS2, Kenric M Murayama, MD1, Marilyn A Moucharite, MS3, Dean J Mikami, MD1. 1Department of Surgery, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI, 2John A. Burns School of Medicine, University of Hawaii, Honolulu, HI, 3Medtronic Healthcare Economics Outcomes Research Division, New Haven, CT

INTRODUCTION: The advent of robotic-assisted surgery has added an additional decision point in the minimally invasive (MIS) treatment of inguinal hernias. The goal of this study is to identify the patient, surgeon, and hospital demographic predictors of robotic inguinal hernia repair.

METHODS: We conducted a retrospective analysis of 102,241 MIS inguinal hernia repairs (1,096 robotic, 101,145 laparoscopic) from 2010 through 2015 with data collected in the Premier Hospital Database. Patient, surgeon, and hospital demographics of robotic and laparoscopic inguinal hernia repairs were compared. The adjusted odds ratio of receiving a robotic procedure was calculated for each of the demographic factors using a multivariable logistic regression model. Statistical significance was defined as p<0.05. SAS software version 9.4 was used for statistical analysis.

RESULTS: The odds of a procedure being robotic increased from 2010 through 2015 (Table 1). Age <65 was not a predictor of a robotic procedure (OR=1.2, CI=0.95-1.51, p=0.1352). Females were more likely to receive a robotic procedure (OR=1.69, CI=1.40-2.05, p<0.0001). Compared to white patients, black patients were more likely (OR=1.33, CI=1.06-1.68, p=0.0138), and other race patients were less likely (OR=0.47, CI=0.38-0.58, p<0.0001) to receive a robotic procedure. Compared to Medicare insurance, patients will all other types of insurance were more likely to receive a robotic repair (Table 2). Surgeons with the lowest annual volume were the most likely to perform robotic procedures (Table 3). Non-teaching (OR=1.81, CI=1.53-2.13, p<0.0001), larger (Table 4), and rural (OR=1.27, CI=1.03-1.57, p=0.025) hospitals were more likely to perform robotic procedures.

CONCLUSIONS: The utilization of robotic inguinal hernia repair is rapidly increasing. Further research is necessary to investigate the apparent tendency toward selection of socioeconomically disadvantaged patients (black, Medicaid, uninsured) for robotic procedures.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 86629

Program Number: P816

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

64

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals