Endoscopic eTEP Versus Open Rives-Stoppa

AZ Alma60 enrolled

Overview

Observational cohort study (partially retrospective, partially prospective) comparing the endoscopic extended totally extraperitoneal prosthesis (eTEP) repair for midline abdominal hernias to open Rives-Stoppa repair (control).

See included study protocol. Included patients will be registered to the European Hernia Society (EHS) registry.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Hernia, Ventral Rectus Diastasis

Interventions

Endoscopic eTEPPROCEDURE

Endoscopic extended view totally extraperitoneal prosthesis repair.

Open Rives-StoppaPROCEDURE

Open Rives-Stoppa repair with retromuscular mesh placement.

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: Group 1 (eTEP): * Participants who underwent an eTEP procedure in the investigators' center * Preoperative existence of one or more midline abdominal wall hernias * Preoperative existence of rectus abdominis diastasis Group 2 (Rives-Stoppa, control group): \- Participants who underwent an open Rives-Stoppa (midline repair with sublay mesh) in the investigators' center Exclusion Criteria: Group 1 (eTEP): * Preoperative absence of midline abdominal wall hernias * Preoperative absence of rectus abdominis diastasis * Intraoperative performance of transverse abdominis release (TAR) * Intraoperative inguinal hernia repair Group 2 (Rives-Stoppa, control group): * Intraoperative performance of transverse abdominis release (TAR) * Intraoperative performance of anterior component separation * Intraoperative inguinal hernia repair

Locations (1)

AZ Alma

Eeklo, Oost-Vlaanderen, Belgium

Outcomes

Primary Outcomes

Length of hospital stay

Time (days) spent within the hospital

Time frame: From the date of operation until the date of discharge from the hospital, assessed up to 30 days.

Postoperative pain management

Modality (type, generic name), duration (days), dosage (grams or milligrams) and frequency (times per day) of analgesics administration

Time frame: From the end of surgery (moment of the end of operation) until the date of discharge from the hospital, assessed up to 30 days.

Secondary Outcomes

Intraoperative complications

Adverse event occurrence

Time frame: During surgery

Postoperative complications

Adverse event occurrence by readmission

Time frame: After discharge until 30 days postoperative

Data from ClinicalTrials.gov

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