Robotic Versus Laparoscopic Ventral Hernia Repair
Hernia, Ventral
About this trial
This is an interventional treatment trial for Hernia, Ventral focused on measuring Ventral Hernia, Hernia Repair
Eligibility Criteria
Inclusion Criteria:
-All patients undergoing elective ventral hernia repair deemed appropriate for minimally invasive repair.
Exclusion Criteria:
- Patients unlikely to survive beyond 2 years based upon surgeon judgment (e.g. advanced cirrhosis or metastatic cancer)
- Patients unlikely to follow-up (e.g. lives out of state or no phone)
- Advanced COPD or CHF
- History of open abdomen or extensive lysis of adhesions for bowel obstruction
- Ascites due to cirrhosis or malignancy
- Active infection such as infected mesh
- Ventral hernia size greater than 12 cm
Sites / Locations
- UT Health-Memorial Hermann
- UTHealth-Lyndon B. Johnson (LBJ) Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Laparoscopic Repair
Robotic Repair
The abdomen will be entered and insufflated utilizing a 5 mm optical port. Only 5 mm ports will be utilized laterally to take down all anterior abdominal wall adhesions. A mid-density polypropylene mesh with a one-sided adhesion barrier that provides at least 5 cm of overlap in all directions will be inserted through a 11 or 12 mm port placed through the defect. Excision of hernia sac and preperitoneal fat and defect closure will be performed per current practice. The mesh will be secured in four points with 0-PDS sutures and/or tacked with a double crown of tacks per our current practice.
Three lateral ports will be placed including a 12 port for the camera. Adhesions will be taken down from the anterior abdominal wall. Hernia sac and preperitoneal fat will be excised per current practice and defect will be closed using a running locking barbed suture. A mid-density polypropylene mesh with a one-sided adhesion barrier that provides at least 5 cm of overlap in all directions will be inserted through the 12 mm port. The mesh will be secured circumferentially with a running barbed suture.