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临床试验/NCT01420757
NCT01420757已完成3 期

Laparoscopic Versus Open Incisional Hernia Repair : A Randomized Clinical Trial

Erasmus Medical Center0 个研究点目标入组 206 人开始时间: 1999年5月最近更新:
适应症

试验速览

阶段
3 期
状态
已完成
入组人数
206
主要终点
Postoperative pain

研究概览

简要总结

Primary closure of incisional hernia without the use of a mesh shows recurrence rates of up to 54%. If a mesh is used, the defect can be closed tension-free. Using this method, recurrence rates have been reduced to 8-21%. Laparoscopic correction of incisional hernia is a relatively new technique in which the mesh is positioned intraperitoneally. Research has shown that this procedure is technical feasible and may have benefits for the patients.

The ongoing debate about the merits of endoscopic versus open incisional hernia repair prompts the need for a level 1 randomized controlled trial.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • hernia diameter between 3 and 15 cm
  • location at the ventral abdominal wall at least 5cm from costae and inguinal area
  • indication for elective repair
  • age of 18 years or older
  • written informed consent.

排除标准

  • contraindication for pneumoperitoneum
  • an absolute contraindication for general anesthesia
  • history of open abdomen treatment
  • patients participating in other trials

结局指标

主要结局

Postoperative pain

时间窗: 4 weeks

次要结局

  • Postoperative analgesics use(1 week)
  • complications(4 weeks)
  • operation time(1 day)
  • length of hospital stay(4 weeks)
  • recurrence(5 years)
  • mortality(5 years)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

hasan eker

Prof. Dr. J.F. Lange

Erasmus Medical Center

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