Anterior Component Separation Versus Posterior Component Separation for Repair of Large Ventral Hernias: a Prospective Cohort Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Hernia recurrence
研究概览
简要总结
This study evaluates effect of anterior component separation and posterior component separation and transversus abdominis muscle release methods for treatment of midline ventral hernias.
详细描述
The anterior component separation technique requires an extensive subcutaneous flap elevation, incision of the external oblique aponeurosis, and incision of the posterior rectus sheath.
The posterior component separation technique utilized the retromuscular space, accessed by incising the posterior rectus sheath and dissecting the posterior sheath between the internal oblique and transversus abdominis muscles. Transversus abdominis muscle release dissected the posterior sheath back to the transversus abdominal muscle and accessed the space between muscle and trasversalis fascia.
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 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •subject has midline ventral hernia
- •patient's approval to participate in the study
排除标准
- •strangulated hernia
- •patient's preference for either operative technique
- •patient's refusal to participate in the study
研究组 & 干预措施
posterior component separation
The posterior component separation technique utilized the retromuscular space, accessed by incising the posterior rectus sheath and dissecting the posterior sheath between the internal oblique and transversus abdominis muscles.
干预措施: Posterior component separation (Procedure)
anterior component separation
The anterior component separation technique requires an extensive subcutaneous flap elevation, incision of the external oblique aponeurosis, and incision of the posterior rectus sheath.
干预措施: Anterior component separation (Procedure)
结局指标
主要结局
Hernia recurrence
时间窗: during 3 year after surgery
Develop of ventral hernia recurrence
次要结局
- Wound complications(30 day after surgery)
研究者
Zaza Demetrashvili
Associate Professor, Surgery Department
Tbilisi State Medical University