Repair of Groin Hernias After Abdominal Prostatectomy With Robotic TAPP

Completed

• Conditions: Inguinal Hernia
• Interventions: Procedure: Open inguinal hernia repair; Procedure: Robotic assisted inguinal hernia repair

• Registration Number: NCT04718597
• Lead Sponsor: Algemeen Ziekenhuis Maria Middelares

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.

Study Timeline

• Study Start: 2020-08-01
• Study First Submitted: 2020-08-26
• Primary Completion: 2020-12-01
• Study Completion: 2020-12-01
• Status Verified: 2021-01
• Study First Submitted QC: 2021-01-18
• Last Update Submitted: 2021-01-18
• Study First Posted: 2021-01-22
• Last Update Posted: 2021-01-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Male
• Target Recruitment: 43

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Open hernia repair	Open inguinal hernia repair	Patients who underwent inguinal hernia repair via an open Liechtenstein procedure
Robotic assisted hernia repair	Robotic assisted inguinal hernia repair	Patients who underwent inguinal hernia repair via robotic assisted laparoscopy

Primary Outcome Measures

Name	Time	Method
Intra-hospital complications	From admission until hospital discharge, on average 12-24 hours	Complications during hospital stay according to Clavien-Dindo
Operative time and per-operative complications	During the hernia repair procedure	Skin-to-skin operating time and complications during the procedure

Secondary Outcome Measures

Name	Time	Method
Early complications at home	Immediately post hospital discharge until 1 month postoperative	Complications at 1 month follow-up (readmission, seroma, infection) according to Clavien-Dindo

Trial Locations

Locations (1)

AZ Maria Middelares; 🇧🇪 Gent, Oost-Vlaanderen, Belgium