Incisional Hernia After Midline Versus Transverse Extraction Incision in Laparoscopic Colectomy
- Conditions
- Laparoscopic Colectomy
- Registration Number
- NCT01247389
- Lead Sponsor
- McGill University Health Centre/Research Institute of the McGill University Health Centre
- Brief Summary
Incisional hernia (IH) is a common complication of midline laparotomy. Despite the hope that laparoscopic colon resection would result in fewer incisional hernias, prospective studies demonstrate a similar incidence to open surgery. Observational studies suggest that the rate of incisional hernia after laparoscopic colon resection may be reduced with the use of a transverse compared to a midline extraction incision. However, no randomized trails are available, and a midline extraction incision for hemicolectomy remains the standard current approach. The investigators hypothesize that the use of a lower abdominal transverse muscle splitting incision for specimen extraction in laparoscopic colon surgery will result in fewer incisional hernias compared to a midline periumbilical extraction incision.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 165
- scheduled laparoscopic partial colectomy where an abdominal extraction incision is planned
- previous laparotomy
- rectal resection or anastamosis
- planned pfannenstiel extraction incision
- single site surgery
- planned or performed stoma
- BMI >35 kg/m2
- ASA 4-5
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Incisional hernia one year
- Secondary Outcome Measures
Name Time Method surgical site infection one month body image one year
Trial Locations
- Locations (1)
Montreal General Hospital
🇨🇦Montreal, Quebec, Canada
Montreal General Hospital🇨🇦Montreal, Quebec, Canada