Cost Evaluation of Robotic Ventral Hernia Repair

NCT ID: NCT06232148

Last Updated: 2024-02-01

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

Total Enrollment

3000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-01-01

Study Completion Date

2023-05-01

Brief Summary

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To evaluate the procedural cost of robotic ventral hernia repair compared with open ventral hernia repair.

Detailed Description

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Ventral hernia repair is one of the most frequently performed elective surgeries worldwide. The surgical approaches vary depending on the patient characteristics, type, and location the of ventral hernia, as well as the surgeons' preferences and equipment availability.

The choice between an open or minimally invasive approach has been debated for years, and it seems clear that the risk of wound infection is significantly decreased when choosing a minimally invasive approach, whereas there are no significant difference in recurrence rates. In the past decades, the use of a robotic system for ventral hernia repair has gained increasing popularity due to an easy access to the preperitoneal or retromuscular plane with a minimally invasive technique.

Two nationwide cohort studies concluded that length of stay and postoperative morbidity was decreased for robot-assisted repairs compared to open or laparoscopic ventral hernia repairs. Critics of robot-assisted surgery argue that it is time-consuming, too expensive, and that further cost-effectiveness analyses are needed to weigh the clinical benefits.

The aim of these studies was to compare the procedure-specific cost of robot-assisted with open primary ventral and incisional hernia repair and thereafter with laparoscopic repairs.

Conditions

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Ventral Hernia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Robotic ventral hernia repairs

Type of surgery

Intervention Type DEVICE

Open ventral hernia repairs

No interventions assigned to this group

Laparoscopic ventral hernia repairs

No interventions assigned to this group

Interventions

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Type of surgery

Intervention Type DEVICE

Eligibility Criteria

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Exclusion Criteria

\-
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bispebjerg Hospital

OTHER

Sponsor Role lead

Responsible Party

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Kristian Kiim Jensen

Principal investigator, MD, PhD, DmSci

Responsibility Role PRINCIPAL_INVESTIGATOR

References

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Henriksen NA, Helgstrand F, Jensen KK. Short-term outcomes after open versus robot-assisted repair of ventral hernias: a nationwide database study. Hernia. 2024 Feb;28(1):233-240. doi: 10.1007/s10029-023-02923-8. Epub 2023 Nov 30.

Reference Type BACKGROUND
PMID: 38036692 (View on PubMed)

Jensen KK, Helgstrand F, Henriksen NA. Short-term Outcomes After Laparoscopic IPOM Versus Robot-assisted Retromuscular Repair of Small to Medium Ventral Hernias: A Nationwide Database Study. Ann Surg. 2024 Jan 1;279(1):154-159. doi: 10.1097/SLA.0000000000005915. Epub 2023 May 22.

Reference Type BACKGROUND
PMID: 37212128 (View on PubMed)

Other Identifiers

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robotic hernia repair

Identifier Type: -

Identifier Source: org_study_id

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