MedPath

Open Mesh Versus Suture Repair in Treatment of Abdominal Wall Hernias

Phase 4
Completed
Conditions
Abdominal Hernia
Interventions
Procedure: abdominal wall reconstruction
Registration Number
NCT01018524
Lead Sponsor
Hungarian Surgical Society
Brief Summary

The purpose of this study is to:

1. compare the long term results of mesh versus suture repair in treatment of abdominal wall defects;

2. find the optimal location of implanted prosthesis, comparing the two most useful position of mesh in abdominal wall hernia surgery.

Detailed Description

To determine difference of operation time, applied materials of hernia operations; clinical complications, postoperative pain, hernia recurrence, recovery and normal activity time after surgery.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
2
Inclusion Criteria
  • During the two-year randomization period at the joined centres all patients were included who were admitted with abdominal wall or umbilical hernia and who suited the requirements.
  • All the patients with primer or first recurrence of postoperative abdominal or primer or first recurrence of umbilical hernia were randomized into this study.
  • For involvement into the study good patient compliance, signed consent form, normal local circumstances were needed.
Exclusion Criteria
  • Ages fewer than 18 or above 70 years
  • Hernia orifice under 5 cm2.
  • Planned or accidental intraoperative opening of any bowel.
  • Unstable parameters of circulation, uncontrollable diabetic or autoimmune disease.
  • Severe renal or hepatic failure
  • Advanced stage of tumours or currently treated malignancies.
  • Inflamed or muddy content of hernia sac.
  • If the patient did not signed the consent form.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
large hernias - onlay meshabdominal wall reconstruction-
small hernias - suture repairabdominal wall reconstruction-
small hernias - mesh repairabdominal wall reconstruction-
large hernias - sublay meshabdominal wall reconstruction-
Primary Outcome Measures
NameTimeMethod
recurrence rate after hernia surgery5 years
Secondary Outcome Measures
NameTimeMethod
chronic pain after hernia surgerymore one year
complications after hernia surgery0-5 years

Trial Locations

Locations (1)

Dept. of Surgery Univ. of Pecs

🇭🇺

Pecs, Hungary

Dept. of Surgery Univ. of Pecs
🇭🇺Pecs, Hungary
© Copyright 2025. All Rights Reserved by MedPath