Inguinal Hernia
Conditions
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.
Interventions
PROCEDURERobotic assisted inguinal hernia repair
Robotic assisted inguinal hernia repair with DaVinci Xi system instead of open repair
PROCEDUREOpen inguinal hernia repair
Classical approach (open repair)
Sponsors
Algemeen Ziekenhuis Maria Middelares
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
MALE
Age
18 Years to No maximum
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| 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 |
Countries
Belgium
Outcome results
None listed