Cost-Effectiveness of Retromuscular Hernia Repair

Condition(s) studied

Investigational drug(s) / intervention(s)

Retromuscular ventral hernia repair: Retromuscular ventral hernia repair involves dissection of the retromuscular space, closure of the hernia defect and placement of a mesh in the retromuscular position. The procedure may be performed using an open, laparoscopic or robotic approach according to surgical practice. Differences between approaches relate to access, visualization and instrumentation, while maintaining the same anatomical plane of repair.

Polypropylene mesh: Retromuscular transabdominal hernia repair with polypropylene mesh of 30x30 cm

Standard perioperative care: Standard perioperative care including anesthesia, antibiotic prophylaxis, thromboprophylaxis, postoperative analgesia and routine postoperative management according to institutional protocols.

Study summary

This prospective observational study aims to evaluate the clinical outcomes and cost-effectiveness of retromuscular midline ventral hernia repair using open, laparoscopic and robotic approaches. Patients undergoing elective repair are included and followed to assess postoperative complications, length of hospital stay, recurrence and quality of life. In addition, a cost-effectiveness analysis will be performed from the perspective of the Spanish National Health System. The study is currently ongoing.

Eligibility

Primary outcome measure(s)

• Length of hospital stay — From date of surgery until hospital discharge (typically within 30 days postoperative)

Trial sites (1)