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Robotic Versus Open Comparison in the Surgical Treatment of Wide Abdominal Wall heRnias (ROCSTAR)

NCT05575141 · Algemeen Ziekenhuis Maria Middelares · Updated 7 Aug 2026

What is being tested
incisional hernia repair
For
Ventral Incisional Hernia; Abdominal Wall Hernia
Kind of study
Tests a treatment or device on volunteers. No drug phase (a device or procedure study).
Who can join
Ages 18 years and older. The full rules are on the registry page.
Where
Not stated
When
Starts or started 1 July 2025, ends 1 Jan 2033. Registered 12 Oct 2022.
Results
None posted yet.

In the researchers' words

In the treatment of ventral incisional hernias, a mesh repair in the retromuscular plane is considered as the gold standard. To allow for adequate medialization of the fascial borders and a complete closure of the defect in case of large incisional hernias, component separation techniques are increasingly being used. When compared to anterior component separation, posterior component separation by transversus abdominis release (TAR) seems to decrease postoperative wound problems. While laparoscopic techniques pose significant difficulties to perform TAR minimally invasively (mainly due to ergonomic and technical reasons), these limitations seem to be overcome by robotic platforms. Initial retrospective patient series report on significantly shorter postoperative hospital stay and fewer complications after robotic transversus abdominis release (rTAR), when compared to open transversus abdominis release (oTAR). High-quality prospective evidence on rTAR is currently lacking.
ClinicalTrials.gov, NCT05575141