Repair of Groin Hernias After Abdominal Prostatectomy With Robotic TAPP

NCT ID: NCT04718597

Last Updated: 2021-01-22

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 43 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2020-08-01
• Study Completion Date: 2020-12-01

Brief Summary

This retrospective study investigates if robotic assisted groin hernia repair in patients who previously underwent abdominal prostatectomy has an equal or more favorable clinical outcome, compared to open repair in those patients.

Detailed Description

In the personal practice of the investigators, there has been a decrease in open groin hernia repair from 17% to 6% since the introduction of robotic assisted surgery. This reflects a change in indication for complex hernias from an open to a minimal invasive approach. One of the typical indications for open approach before adopting the robotic platform were groin hernias after previous abdominal prostatectomy. Since prostatectomy results in scarring of the retropubic area where we need to dissect during MIS groin hernia repair, an open anterior approach is often suggested. With the enhanced view and instrument dexterity of the robotic platform, the investigators have now changed to a minimal invasive approach in these patients.

Therefore, this study will evaluate the clinical outcome after robotic assisted repair of groin hernias in patients who previously underwent an abdominal prostatectomy in comparison to open groin hernia repair.

Conditions

Inguinal Hernia

Study Design

• Observational Model Type: CASE_CONTROL
• Study Time Perspective: RETROSPECTIVE

Study Groups

Open hernia repair

Patients who underwent inguinal hernia repair via an open Liechtenstein procedure

Open inguinal hernia repair

Intervention Type: PROCEDURE

Classical approach (open repair)

Robotic assisted hernia repair

Patients who underwent inguinal hernia repair via robotic assisted laparoscopy

Robotic assisted inguinal hernia repair

Intervention Type: PROCEDURE

Robotic assisted inguinal hernia repair with DaVinci Xi system instead of open repair

Interventions

Robotic assisted inguinal hernia repair

Robotic assisted inguinal hernia repair with DaVinci Xi system instead of open repair

Intervention Type: PROCEDURE

Open inguinal hernia repair

Classical approach (open repair)

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Adult patients
• Underwent uni-or bilateral groin hernia repair in the period March 2015 - March 2020
• Groin hernia repair via robotic assisted laparoscopy or open surgery
• History of abdominal prostatectomy before the groin hernia repair

Exclusion Criteria

• Age below 18
• Groin hernia repair via conventional laparoscopy
• Groin hernia repair via open surgery other than Liechtenstein method
• Groin hernia repair without mesh placement

• Minimum Eligible Age: 18 Years
• Eligible Sex: MALE
• Accepts Healthy Volunteers: No

Sponsors

Algemeen Ziekenhuis Maria Middelares

OTHER

Sponsor Role: lead

Responsible Party

Filip Muysoms

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Filip Muysoms, PhD

Role: PRINCIPAL_INVESTIGATOR

Algemeen Ziekenhuis Maria Middelares

Locations

AZ Maria Middelares

Ghent, Oost-Vlaanderen, Belgium

Countries

Belgium

Other Identifiers

MMS.2020.067

Identifier Type: -

Identifier Source: org_study_id