Cost Evaluation of Robotic Ventral Hernia Repair

Completed

• Conditions: Ventral Hernia
• Interventions: Device: Type of surgery

• Registration Number: NCT06232148
• Lead Sponsor: Bispebjerg Hospital

Brief Summary

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

Detailed Description

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.

Study Timeline

• Study Start: 2017-01-01
• Primary Completion: 2023-01-01
• Study Completion: 2023-05-01
• Status Verified: 2024-01
• Study First Submitted: 2024-01-20
• Study First Submitted QC: 2024-01-29
• Study First Posted: 2024-01-30
• Last Update Submitted: 2024-01-30
• Last Update Posted: 2024-02-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 3000

Inclusion Criteria

patients undergoing elective primary ventral and incisional hernia repair -

Exclusion Criteria

none

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Robotic ventral hernia repairs	Type of surgery	-

Primary Outcome Measures

Name	Time	Method
Mean procedural cost	at the procedure	Total mean cost per procedure for all types of ventral hernias

Secondary Outcome Measures

Name	Time	Method
Cost incisional	at the procedure	Total mean cost per procedure for incisional ventral hernias
Cost primary ventral	at the procedure	Total mean cost per procedure for primary ventral hernias