Evaluation of Posterior Component Separation Technique in the Management of Complex Ventral Hernia.

Not Applicable

Not yet recruiting

• Conditions: Ventral Hernia
• Interventions: Procedure: Posterior component separation technique.

• Registration Number: NCT06352489
• Lead Sponsor: Assiut University

Brief Summary

* Assess short term outcome of posterior component separation technique(PCS) including the regain of the physiological function of the abdominal wall.

* Detect most common post operative complications related to AWR techniques in a 6 months duration after operation.

Detailed Description

posterior component separation(PCS) is one of the surgical techniques used in abdominal wall reconstruction plan foe management of relatively complex ventral hernia ,which cannot be treated with the conventional surgical way.

With or without transverses abdominis release(TAR) technique, (PCS) became widely accepted as surgical technique specially for large sized hernia defect, previous multiple laparotomies or unhealth abdominal soft tissue.

This study has a primary outcome which is detection of recurrence rate in patients under went posterior component separation technique in a period of 6 month after operation.

Study Timeline

• Status Verified: 2024-04
• Study First Submitted: 2024-04-02
• Study First Submitted QC: 2024-04-02
• Last Update Submitted: 2024-04-02
• Study First Posted: 2024-04-08
• Last Update Posted: 2024-04-08
• Study Start: 2024-05-01
• Primary Completion: 2026-05
• Study Completion: 2026-06

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• patients with complex ventral hernia with contraindication to the conventional surgical therapy.

Exclusion Criteria

1. patients with contraindication to long standing anesthesia.
2. patients with emergency hernia situation.
3. pregnant patients.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
PCS with TAR	Posterior component separation technique.	The posterior component separation technique utilizes the retro-rectus space, accessed by incising the posterior rectus sheath and dissecting the posterior sheath between the internal oblique and transversus abdominis muscle.
PCS without TAR	Posterior component separation technique.	by performing posterior component separation technique through inscion in the posterior rectus sheath and mesh placement in this plane without performing more advancement towards tranversus abdominis muscle.

Primary Outcome Measures

Name	Time	Method
Hernia recurrence	six month after operation	develop ventral hernia recurrence

Secondary Outcome Measures

Name	Time	Method
post operative short term complications	One month after operation	wound infection(hematoma, seroma) and wound dehiscence