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.
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.
Study Type
OBSERVATIONAL
Enrollment
43
Robotic assisted inguinal hernia repair with DaVinci Xi system instead of open repair
Classical approach (open repair)
AZ Maria Middelares
Ghent, Oost-Vlaanderen, Belgium
Intra-hospital complications
Complications during hospital stay according to Clavien-Dindo
Time frame: From admission until hospital discharge, on average 12-24 hours
Operative time and per-operative complications
Skin-to-skin operating time and complications during the procedure
Time frame: During the hernia repair procedure
Early complications at home
Complications at 1 month follow-up (readmission, seroma, infection) according to Clavien-Dindo
Time frame: Immediately post hospital discharge until 1 month postoperative
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