In the first randomized trial comparing laparoscopic with robotic ventral and inguinal hernia repair, clinical outcomes were similar for both approaches However, robotic repair increased operative time and cost. 2 patients on the robotic repair arm resulted in intestinal wall lesion and none in the laparoscopic repair.
Scaring is affected by smoking. Scientific literature shows that smoking has been associated with increased risk of wound infection, major operative complications, readmission, and hernia recurrence. The American Gastrointestinal and Endoscopic Surgeons released 2020 guidelines and recommends avoiding elective surgery until a patient ceases smoking.