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Laparoscopic ventral hernia repair (LVHR) may be associated with chronic pain, seroma formation, bulging and failure to restore abdominal wall function. These outcomes are risk factors for hernia recurrence and poor quality of life (QoL). Our study evaluates whether robotic-assisted ventral hernia repair (rVHR) diminish these complications compared to LVHR with primary closure of the defect (hybrid).
Thirty patients undergoing incisional ventral hernia operation with fascial defect size from 3 to 6 cm will be recruited. Fifteen patients undergo rVHR and fifteen undergo hybrid operation.The main outcome measure is postoperative pain, evaluated with visual analogue scale (VAS: 0-10) preoperatively, at 1-week, at 1-month and at 1-year. Hernia recurrence will be evaluated with ultrasound examination at 1-year and QoL using the generic SF-36 short form questionnaire preoperatively, at 1-month and at 1-year.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Robotic | Experimental | Fifteen patients undergo rVHR operation. |
|
| hybrid | Experimental | Fifteen patients undergo hybrid operation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| robotic | Device | fifteen patients undergo robotic operation |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Robotic-assisted ventral hernia repair vs hybrid. Change in pain | VAS scale from 0 to 10. Zero in VAS is no pain and number ten is the highest possible pain | 1-year |
| Measure | Description | Time Frame |
|---|---|---|
| Robotic-assisted ventral hernia repair vs hybrid. Change in the social functioning status. | SF-36. Scale from 0 to 100. For all scales, higher scores (100) represent better function or outcome | 1-year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Pirjo Käkelä, PhD | Contact | 044 717 4796 | pirjo.kakela@kuh.fi | |
| Kirsi Mustonen, MD | Contact | 044 717 5732 | kirsi.m.mustonen@kuh.fi |
| Name | Affiliation | Role |
|---|---|---|
| Pirjo Käkelä, PhD | gi -surgeon, clinical teacher | Study Director |
| Pirjo Käkelä, PhD | gi-surgeon, clinical teacher | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kuopio University Hospital | Recruiting | Kuopio | Northern Savonia | 70200 | Finland |
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| ID | Term |
|---|---|
| D010146 | Pain |
| D012008 | Recurrence |
| D006555 | Hernia, Ventral |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D020969 | Disease Attributes |
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| hybrid |
| Device |
fifteen patients undergo hybrid operation |
|
| D010335 | Pathologic Processes |
| D046449 | Hernia, Abdominal |
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |