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CompletedNCT05195957EUROTARUpdated Jan 19, 2022

Outcomes of Open Versus Robotic-assisted Laparoscopic Posterior Component Separation in Complex Abdominal Wall Repair

An observational study in Abdominal Wall Hernia, sponsored by University of Oulu. Completed at 2 sites in 2 countries. Per ClinicalTrials.gov, last updated 2022-01-19.

Sponsored by University of Oulu · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
169
Sex
All
01

Study summary

This is a retrospective European multicenter study evaluating surgical treatment of patients with a complex ventral incisional hernia using robotic-assisted laparoscopic transversus abdominis release (rTAR) or open transversus abdominis release (oTAR).

Read the detailed description

Consecutive patients who undergo bilateral TAR in the treatment of their ventral incisional hernia in two European hernia centers are included in the study. A retrospective analysis of a prospectively maintained database and electronic patient files will be performed. Primary endpoint of the study was length of postoperative hospital stay. Secondary endpoints are intraoperative complications, in-hospital complications, overall and surgical site related complications during the first 30 postoperative days, overall and surgical site related complications during the reported follow-up period, and hernia recurrence during the reported follow-up period.

Data on the following variables wlll be collected.

  • Patient characteristics: age, sex, body-mass index (BMI), comorbidities, smoking habits, previous hernia repair and hernia dimensions
  • Intraoperatively: skin-to-skin operative time, wound contamination class (according to the center for disease control and prevention (CDC) classification)15, administration of antibiotics, mesh type used, mesh size, closure of the hernia defect, combined surgical procedures and intraoperative complications.
  • Postoperatively at discharge: length of postoperative hospital stay and in-hospital complications.
  • Postoperatively at 30 days after surgery: overall (according to the Clavien-Dindo classification)16 and surgical site related complications17, readmission rates during the first 30 days after surgery.
  • During follow-up: duration of reported follow-up, reoperation rates and hernia recurrences during the reported follow-up period.
02

Conditions studied

  • Abdominal Wall Hernia

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Keywords

  • Abdominal wall surgery
  • Open surgery
  • Robotic surgery
  • Transversus abdominis release
  • Posterior component separation technique
03

In context

Hernia, Abdominal

82 studies on the registry are indexed under Hernia, Abdominal; 19 are open to participants now.

This study's enrollment of 169 is above the median of 115 across 29 observational studies indexed under Hernia, Abdominal.

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Lead sponsor

University of Oulu is the lead sponsor of 141 studies on the registry; 22 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Consecutive patients undergoing bilateral either open of robotic-assisted transversus abdominis release in the treatment of their ventral incisional hernia.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • All consecutive patients undergoing bilateral either open of robotic-assisted transversus abdominis release in the treatment of their ventral incisional hernia.

Exclusion criteria

Exclusion Criteria:

  • unilateral transversus abdominis release
  • patients with a stoma or parastomal hernia
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
169 participants (actual)
Target follow-up
12 Months
Patient registry
Yes

Groups and cohorts

  • rTAR

    All consecutive patients undergoing bilateral robotic transversus abdominis release operation in the treatment of their ventral incisional hernia, are considered eligible for inclusion.

    Procedure: Robotic tranversus abdominis release operation

  • oTAR

    All consecutive patients undergoing bilateral open transversus abdominis release operation in the treatment of their ventral incisional hernia, are considered eligible for inclusion.

    Procedure: Open transversus abdominis release operation

Interventions

  • ProcedureRobotic tranversus abdominis release operation

    Mini-invasive robotic-assisted TAR using either DaVinci Xi or Si systems and 6 laparoscopic ports.

  • ProcedureOpen transversus abdominis release operation

    Original open TAR using midline incision.

06

What researchers measure

Primary outcomes

  1. Length of postoperative hospital stay

    Postoperative treatment and follow-up period in hospital

    Time frame: immediately after the surgery

Secondary outcomes

  1. Complication rates

    Postoperative complications during 30 days after surgery and longer follow-up

    Time frame: through study completion, an average of 1 year

  2. Recurrence and reoperation rates

    Postoperative recurrence of hernia and possible reoperations for recurrence

    Time frame: through study completion, an average of 2 year

07

Study locations

2 sites
  • Hospital Maria Middelares
    Ghent, 9000, Belgium
  • Tero Rautio
    Oulu, 90230, Finland
08

References and documents

Individual participant data

Plan to share: Yes — All data is available for European Hernia Society researchers

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: After results are published without any time limitations

Access criteria: When asked

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2021 to primary completion in Oct 2021, 9 months.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 29, 2021
First posted
Jan 19, 2022
StartActual
Jan 17, 2021
Primary completionActual
Oct 30, 2021
CompletionActual
Dec 21, 2021
Last update
Jan 19, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 19, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05195957
Lead sponsor
University of Oulu
Collaborators
Algemeen Ziekenhuis Maria Middelares
Responsible party
Sponsor
First posted
Jan 19, 2022
Start date
Jan 17, 2021
Primary completion
Oct 30, 2021
Completion
Dec 21, 2021
Last update
Jan 19, 2022

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2022. You cannot join it, but the record below documents what was studied.

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