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Sponsor: University Hospital, Basel, Switzerland
Conditions: Ventral Hernia, Incisional Hernia, Abdominal Wall Defect
Interventions: Robotically-assisted ventral hernia repair (RVHR), Open ventral hernia repair (OVHR)
Countries: Germany, Switzerland
This study investigates on the effect of two different operative techniques to treat large abdominal wall defects. The goal of this clinical trial is to learn if the minimally-invasive, robotically-assisted ventral hernia repair (RVHR) leads to a better outcome than the open ventral hernia repair (OVHR). The main questions it aims to answer are: length of stay after the operation rate of complications rate of recurrence and reoperations quality of life. Participants will: Either be operated using the RVHR or OVHR will be followed up either in person or via email / phone call at day 7, day 30, 6 months, 1, 3 and 5 years after the surgery to asses the above-stated main and some more outcomes.
Sex: ALL
Age: 18 Years to —
Healthy volunteers: No
Study type: INTERVENTIONAL
Inclusion Criteria: * Patient age \>18 years * Informed consent obtained * Transverse diameter of ventral hernia \>4cm - 15cm * Eligible to open and minimally-invasive surgery according to preoperative anaesthetic assessment Exclusion Criteria: * precedent hernia treatment with mesh placement in the retromuscular space * precedent anterior or posterior component separation or transversus abdominis release (TAR) * active wound infection * current cancer diagnosis * presence of ileostomy, colostomy or ileal conduit * liver disease defined by the presence of ascites * end-stage renal disease requiring dialysis * need of an emergency surgery * pregnancy Criteria for participating surgeons Each participating surgeon has performed 20 or more OVHR and RVHR.
- Kempten (Allgäu), Bavaria, Germany
- Basel, Canton of Basel-City, Switzerland
- Visp, Valais, Switzerland