Today the minimal invasive access is used for a lot of different operations. This technique takes the advantage of less postoperative pain, better cosmetic results, and a lower surgical complication rate (e.g. hernia, wound infection). Especially patients under immunosuppressive therapy could benefit from this technique. First results in minimally invasive kidney transplantation indicate that it may be performed quickly and safely. Benefits are expectable on postoperative pain, recovery, and surgical complications. Another retrospective study showed lower rates of hernia, abdominal wall relaxations, and a better postoperative cosmetic. The aim of this study is to compare the classic hockey stick incision with a minimal invasive incision in a randomized clinical trial.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
50
Short Transverse Incision for kidney transplantation
Hockey Stick Incision for kidney transplantation
University Hospital Inselspital
Bern, Canton of Bern, Switzerland
QoR (Quality of Recovery) - Score
Time frame: preoperative, day 1/3/5/7 postoperative
Quality of Life by SF (Short Form) 36
Time frame: preoperative, day 7, week 4, month 6 postoperative
Operation time
Time frame: intraoperative
Warm ischemic time
Time frame: intraoperative
Postoperative pain measured by VAS (visual analog scale) and amount of analgesia
Time frame: day 1/2/3/4/5/6/7 postoperative
Surgical complications
Time frame: day 7, week 4, month 6, month 12 postoperative
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