Hernia, Inguinal Clinical Trial
Official title:
Prospective Observational Cohort Study on Robot-assisted Laparoscopic Hernia Repair (rTAPP)
The purpose of this study is the measurement of the evolution of the operation time during the start-up phase of robotic-assisted surgery for the treatment of inguinal hernia`s of 50 patients treated in Maria Middelares in laparoscopic rTAPP technique.
Minimally invasive hernia repair by laparoscopy is the standard treatment in adult patients
in Maria Middelares, Ghent. A previously conducted study demonstrated that the symptoms of
patients with inguinal hernias (verified via EuraHS Quality of Life score) can be effectively
treated and the technique has a low recurrence rate and low frequency of long-term side
effects.
Robot-assisted laparoscopic surgery has become standard in urology for resection of the
prostate carcinoma. In general abdominal surgery, a large group of surgeons are currently
working on the introduction of robotic-assisted surgery for resection of colon and rectal
cancer in their daily practice. The third generation robot (DaVinci Xi), has extended the
applicability of this technology within the field of general surgery.
For the surgical treatment of hernia's and other abdominal wall defects (umbilical or/and
incisional hernia's), currently only surgeons in the US have experiences in structured
treatment programs.
From September 1, 2016 Maria Middelares hospital will introduce robot-assisted surgery,
including the laparoscopic TAPP inguinal hernia repair.
Main obstacles to the introduction of robot technology in abdominal wall surgery are
prolonged preparation time in the operating room required for installation of the robot, and
higher material costs related to the robot-assisted surgery. However, there are few precise
data available on the exact size of extra time or increased costs related to the introduction
of robotic assisted surgery in a program for abdominal surgery.
The purpose of this study is the measurement of the evolution of the operation time during
the start-up phase of robotic-assisted surgery for the treatment of inguinal hernias by 50
patients in Maria Middelares hospital.
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