Long-term Follow-up of Prophylactic Mesh Reinforcement After Emergency Laparotomy.

Completed

• Conditions: Prevention of Incisional Hernia in Emergency Surgery

• Registration Number: NCT04578561
• Lead Sponsor: José A. Pereira

Brief Summary

Observational Study analyzing the long-term results of prophylactic mesh used for preventing incisional hernia after emergency midline laparotomies.

Detailed Description

Background. Prevention of incisional hernias with a prophylactic mesh in emergency surgery is controversial. The present study aimed to analyze the long-term results of prophylactic mesh used for preventing incisional hernia after emergency midline laparotomies.

Methods. This study was a retrospective analysis of patients who underwent an emergency midline laparotomy between January 2009 and July 2010 with a follow-up period of longer than 2 years. Long-term outcomes and risk factors for the development of incisional hernias between patients who received a prophylactic reinforcement mesh (Group M) and suture (Group S) were compared.

Study Timeline

• Study Start: 2010-01
• Primary Completion: 2019-01
• Study Completion: 2020-01
• Status Verified: 2020-10
• Study First Submitted: 2020-10-05
• Study First Submitted QC: 2020-10-06
• Last Update Submitted: 2020-10-06
• Study First Posted: 2020-10-08
• Last Update Posted: 2020-10-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 187

Inclusion Criteria

• Patients undergoing emergency midline laparotomy

Exclusion Criteria

• Those with need of concomitant hernia repair.
• Those who received incisions outside the midline.
• Those with delayed abdominal closure.
• Those who died in the immediate postoperative period.
• Those without a minimum 2 years of follow-up.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Incisional hernia	2 years	Detection of clinical or subclinical incisional hernia during postoperative longterm followup