Inguinal Hernia
Conditions
Keywords
robot-assisted laparoscopic inguinal hernia repair
Brief summary
The goal of this observational cohort study is to evaluate the evolution of the operative time in performing robotic-assisted laparoscopic inguinal hernia repair (rTAPP) during the learning curve of the first 50 patients using the HugoTM Ras (Medtronic) robotic system using the setup guide. This will be compared to the operative time for rTAPP in 50 patients performed by the same surgeon in another hospital. This data was collected in an earlier similar study with the start of the experience using the daVinci Xi (Intuitive Surgical) robotic system.
Detailed description
As a result of human cadaveric sessions to evaluate the approach of inguinal hernia repair using the Hugo RAS robotic system a setup guide was produced. Preclinic tests on dummies, cadaveric models and porcine models were performed. During a first session using dummies, the existing set-up guide proposed by US surgeons was tested and validated. To evaluate the evolution of the operative time in performing robotic assisted laparoscopic inguinal hernia repair (rTAPP) during the learning curve of the first 50 patients using the HugoTM Ras (Medtronic) robotic system using the setup guide at the Sint Vincentius Hospital in Deinze. This will be compared to a previously performed and similar study with the start of the experience with the daVinci Xi (Intuitive Surgical) robotic system in AZ Maria Middelares in 2016. Patient data and outcome data will be collected. A follow-up of 1 month postoperative is foreseen for the evaluation of short-term complications and quality of life 1 month after surgery.
Interventions
robot-assisted laparoscopic inguinal hernia repair (rTAR)
Sponsors
Study design
Eligibility
Inclusion criteria
All patients planned for a minimal invasive (robotic assisted laparoscopic) inguinal hernia repair during the study period will be invited to take part in the study. Both unilateral and bilateral hernias will be included.
Exclusion criteria
* Recurrent hernias after previous preperitoneal mesh placement. * Inguinal hernias after abdominal prostatectomy. * Pregnancy. * Emergency surgery. * Age below 18 years. * Absence of informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Operative times | Minutes, up to 4 hours | Comparison of operative times for rTAPP |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Short-term complications | until 30 days after the surgical procedure | Evaluation of short term complications |
| Quality of Life (QoL) one month after surgery | until 30 days after the surgical procedure | Evaluation of quality of life 1 month after surgery, using the EuraHS Quality of Life questionnaire, a lower score means a better quality of life |
Countries
Belgium