Hernia, Umbilical Clinical Trial
Official title:
Prospective Observational Cohort Study of Robot-assisted Laparoscopic Hernia Umbilical Hernia Repair (rTARUP)
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 incisional hernia`s of 40 patients treated in Maria Middelares in laparoscopic rTARUP technique.
Minimally invasive hernia repair by laparoscopy is the standard treatment in adult patients
with an umbilical hernia larger than 2 cm in Maria Middelares, Ghent.
As previously described in a chapter in a surgical guide and in a review article on the
surgical fixation technique for laparoscopic umbilical hernia repair, the used technique has
been proven feasible end safe.
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 TARUP umbilical 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 umbilical hernias by 40
patients in Maria Middelares hospital.
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