Laparoscopic "DA VINCI" Robot Assisted Abdominal Wall Hernia Repair

NCT ID: NCT00908193

Last Updated: 2013-08-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-07-31

Study Completion Date

2012-06-30

Brief Summary

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The aim of this study is to prove the superiority of the robotic assistance in laparoscopic repair of abdominal wall hernias .

In this monocentric randomized controlled trial, the use of the DA VINCI robot might reduce the post-operative pain of the patient resulting in a 40% reduction of morphine consumption.

Detailed Description

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Laparoscopic Robot Assisted abdominal wall hernia repair : a prospective randomized trial:

The main judgement criterion is post operative pain reflected by morphine consumption during the first 48 hours. Secondary criteria are morbidity, quality of life, duration of surgery, conversion rate, complications, the the length of stay and hospital costs.

In this single centre study, inclusion criteria are age above 18, no previous repair of the hernia with a mesh and a diameter of the parietal defect of less than 10 cm. Contraindications are chronic use of pain drugs of level II or above and renal insufficiency (clearance \<30ml/min).

The robotic repair was described in a previous paper of our group and will be compared to our classical laparoscopic repair technique, and in both cases with the use of the same prosthetic mesh.

A total of 70 patients to be included in an 18 months period was calculated to prove a 40% reduction in morphine consumption during the postoperative 48h (α=5% and β=10%).

The total duration of the study is 30 months (12 months of follow-up for each patient).

Conditions

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Abdominal Wall Hernia

Keywords

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Treatment of abdominal ruptured Digestive system disease Coelioscopy Assistance robotics Medical device DA VINCI Robot Pain patient Morphine consumption Comparative Randomized study patient over 18 years with ruptured abdominal with an indication of treatment of ruptured

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

robot-assisted coelioscopy

Group Type EXPERIMENTAL

Laparoscopic DA VINCI Robot Assisted coelioscopy

Intervention Type DEVICE

Patients with abdominal wall hernia will be treated by robot-assisted coelioscopy for the poses of abdominal plate

2

conventional coelioscopy

Group Type ACTIVE_COMPARATOR

conventional coelioscopy

Intervention Type PROCEDURE

Patients with abdominal wall hernia will be treated by conventional coelioscopy for the poses of abdominal plate

Interventions

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Laparoscopic DA VINCI Robot Assisted coelioscopy

Patients with abdominal wall hernia will be treated by robot-assisted coelioscopy for the poses of abdominal plate

Intervention Type DEVICE

conventional coelioscopy

Patients with abdominal wall hernia will be treated by conventional coelioscopy for the poses of abdominal plate

Intervention Type PROCEDURE

Other Intervention Names

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Laparoscopic DA VINCI Robot Assisted abdominal coelioscopy

Eligibility Criteria

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Inclusion Criteria

* over 18 years
* with indication of hernia repair
* a collar with a diameter of less than 10cm
* no antecedent of hernia treatment with poses plate
* agreeing coelioscopy
* agreeing to participate the clinical study, having sign an informed consent
* agreeing a regular monitor

Exclusion Criteria

* taking analgesic tier 2 or 3
* against indication to anesthetics or coelioscopy
* creatinine clearance less than 30 ml/min
* pregnant woman and protected persons
* no affiliation to social security
* unable to understand the information form
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Claude Tayar

Role: PRINCIPAL_INVESTIGATOR

Assistance Publique - Hôpitaux de Paris

Locations

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Groupe Hospitalier Chenevier-Mondor

Créteil, , France

Site Status

Countries

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France

Other Identifiers

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P051080

Identifier Type: -

Identifier Source: org_study_id