MedPath

Prevention of Parastomal Hernia by Primary Mesh Insertion

Phase 2
Terminated
Conditions
Parastomal Hernia
Registration Number
NCT00641342
Lead Sponsor
University Hospital, Gentofte, Copenhagen
Brief Summary

Approximately 1/3 of patients with a permanent end-colostomy will experience a hernia around the stoma. In some cases these problems result in the need of surgical correction and the risk of recurrent hernia after operative intervention is regrettably high. Preliminary investigations suggest a role for primary mesh placement to prevent parastomal hernia. The use of a mesh as a preventive measure is a safe procedure. This study will focus on the effect of primary mesh placement (two different operative procedures are used) compared to patients without mesh placement.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
198
Inclusion Criteria
  • Permanent end-colostomy after surgery for rectosigmoid cancer with extirpation or Hartmann's procedure.
Exclusion Criteria
  • ASA > 3
  • Acute surgery
  • Known immune deficiency
  • Surgery with insertion of foreign body (orthopaedic prosthesis, mechanical or bio-logical heart valve etc.) within the last 3 months.
  • Pregnancy
  • Known inflammatory bowel disease
  • Lack of written informed consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Parastomal hernia verified by CT-scanone year after surgery, reassessed after 2, 3 and 5 years
Secondary Outcome Measures
NameTimeMethod
Clinically detected parastomal herniaone year after surgery, reassessed after 2, 3 and 5 years
Disease specific and general health questionnaireone year after surgery, reassessed after 2, 3 and 5 years
Painone year after surgery, reassessed after 2, 3 and 5 years

Trial Locations

Locations (2)

Copenhagen University Hospital, Hvidovre

🇩🇰

Hvidovre, Copebhagen, Denmark

Copenhagen University Hospital, Gentofte

🇩🇰

Hellerup, Copenhagen, Denmark

Copenhagen University Hospital, Hvidovre
🇩🇰Hvidovre, Copebhagen, Denmark
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