Posterior Component Separation in the Management of the Complex Ventral Hernia
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 30
- 主要终点
- Hernia recurrence
研究概览
简要总结
- 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.
详细描述
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.
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 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients with complex ventral hernia with contraindication to the conventional surgical therapy.
排除标准
- •patients with contraindication to long standing anesthesia.
- •patients with emergency hernia situation.
- •pregnant patients.
研究组 & 干预措施
PCS with TAR
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.
干预措施: Posterior component separation technique. (Procedure)
PCS without TAR
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.
干预措施: Posterior component separation technique. (Procedure)
结局指标
主要结局
Hernia recurrence
时间窗: six month after operation
develop ventral hernia recurrence
次要结局
- post operative short term complications(One month after operation)
研究者
Mohamed Mahmoud Mohamed Yehya
Assistant lecturer
Assiut University