A study published in JAMA Surgery found that patients who underwent robotic-assisted ventral hernia repair had a higher 10-year recurrence rate (13.4%) compared to those who had laparoscopic (12.3%) or open (12.7%) repairs, after adjusting for comorbidities and hernia type. The study used Medicare claims data and an instrumental variable analysis to account for confounding factors. The results suggest that robotic-assisted ventral hernia repair may have inferior long-term outcomes compared to laparoscopic or open approaches. The study highlights the need for further research to evaluate the specific advantages and disadvantages of each approach to improve patient outcomes. The authors caution that the rapid and widespread adoption of robotic-assisted ventral hernia repair may not be justified by clinical evidence.A study published in JAMA Surgery found that patients who underwent robotic-assisted ventral hernia repair had a higher 10-year recurrence rate (13.4%) compared to those who had laparoscopic (12.3%) or open (12.7%) repairs, after adjusting for comorbidities and hernia type. The study used Medicare claims data and an instrumental variable analysis to account for confounding factors. The results suggest that robotic-assisted ventral hernia repair may have inferior long-term outcomes compared to laparoscopic or open approaches. The study highlights the need for further research to evaluate the specific advantages and disadvantages of each approach to improve patient outcomes. The authors caution that the rapid and widespread adoption of robotic-assisted ventral hernia repair may not be justified by clinical evidence.