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Peer-Reviewed Publication
J Robot Surg2026;20(1)July 24, 2026Journal Article

Economic benefits of robotic-assisted ventral hernia repair in India: an analysis of health utility, productivity, and operational gains from the real-world ASPIRE INDIA study.

Randeep Wadhawan1, Vivek Bindal2, Pradeep Jain3, Ashwinikumar Kudari4, Sreedhara V Setty5, Kanika Jain6, Udipta Ray7, Vijaykumar C Bada8, Vishal Soni9, Biswabasu Das10, Ramkaran Chaudhary11, Naveen Sharma11, Sudhir Sharma12, Akhil Dahiya13, Rajveer Bhaskar14,15, Isha Sharma13, Prabhakar Pandey16, Pradeep Chowbey17
1Minimal Access & Bariatric Surgery, Max Super Speciality Hospital, Dwarka, New Delhi, India.
2Max Institute of Minimal Access, Bariatric & Robotic Surgery, Max Super Speciality Hospital, Ghaziabad, Uttar Pradesh, India.
3GI Onco, Bariatric & Minimal Access Surgery, Fortis Hospital, Delhi, India.
4Surgical Gastroenterology, and Robotic Surgery, Mazumdar Shaw Medical Center, Bengaluru, Karnataka, India.
5Minimal Access Surgery, Apollo Hospitals, Bengaluru, Karnataka, India.
6Department of Hospital Administration, All India Institute of Medical Sciences, Delhi, India.
7Minimal Access & Bariatric Surgery, Fortis Hospital, Kolkata, West Bengal, India.
8Minimal Access Surgery & Robotic Sciences, Yashoda Hospitals, Hyderabad, Telangana, India.
9Apollo Hospitals, Ahmedabad, Gujarat, India.
10Department of Surgical Gastroenterology & Robotic Surgery, CARE Hospitals, Visakhapatnam, Andhra Pradesh, India.
11Department of General Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
12Minimal Access Surgery, and General Surgery, Medanta Hospital, Noida, India.
13Department of Clinical and Medical Affairs, Intuitive Surgical, Sunnyvale, CA, USA.
14Department of Clinical and Medical Affairs, Intuitive Surgical, Sunnyvale, CA, USA. rajveer.bhaskar@intusurg.com.
15Intuitive Surgical, Signature Building, Embassy Golf Link Business Park, Bengaluru, Karnataka, India. rajveer.bhaskar@intusurg.com.
16SEREXIA Consultancy Pvt. Ltd, Bangalore, India.
17Institute of Laparoscopic, Endoscopic, Bariatric & Gastrointestinal Surgery, Max Super Speciality Hospital, New Delhi, India.
PubMed DOI

Abstract

This study estimated the economic benefits of robotic-assisted ventral hernia repair (RVHR) using individual patient data (IPD) from a prospective multicenter study, the ASPIRE INDIA. The 30-day quality-adjusted life-years (QALY) gain was estimated from the EuroQol five-dimension three-level questionnaire scores (EQ-5D-3L), with uncertainty quantified via non-parametric bootstrap resampling. Produ…

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