Hernia, Inguinal
Conditions
Keywords
robot-assisted
Brief summary
Randomized trial to compare outcomes of laparoscopic and robot assisted inguinal hernia repair.
Detailed description
Inguinal hernia repair is a very common surgical operation. Both laparoscopic and robot-assisted operations are considered acceptable. However, there is no clear indication for a particular approach. No prospective trial has been conducted so far to establish superiority of one approach over the other. The Investigator believes each approach has unique characteristics and may offer advantages over the other in the right population group. The Investigator will randomly assign patients in two arms according to the surgical approach, whether laparoscopic or robot-assisted. The Investigator will collect preoperative characteristics, intraoperative variables, and postoperative outcomes. The Investigator will compare all variables to establish differences between the two groups.
Interventions
Surgical inguinal hernia repair using laparoscopic approach.
Surgical inguinal hernia repair using robot-assisted approach.
Sponsors
Study design
Intervention model description
Participants will be randomized to receive either laparoscopic or robot-assisted repair of inguinal hernia.
Eligibility
Inclusion criteria
* surgeon determined need for inguinal hernia repair
Exclusion criteria
* \< 18 years of age * \> 99 years of age * medical indication for open repair
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Operative time | Immediate perioperative time | Time from start to finish of procedure, procedure start and stop times as recorded by anesthesia. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain score | Until 5 year postoperative | Abdominal pain at rest and on moving (recumbent to the upright position), will be assessed using 0-10 Numeric Pain Rating Scale preoperatively (baseline), and at 24 hours, 30 days, one and five years postoperatively. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Complications | From immediately post-operative until year five following surgical inguinal hernia repair. | Postoperative 30 day complication rates will be recorded prospectively. All complications (including multiple occurrences per patient) will be recorded and graded per the Clavien-Dindo classification system. |
Countries
United States