Impact Evaluation of Incisional Hernia on Muscular and Postural Function

Not Applicable

Completed

• Conditions: Incisional Hernia
• Interventions: Diagnostic Test: Dynamometric tension assessment; Diagnostic Test: Postural balance; Diagnostic Test: Assessment of the hernia defect size; Diagnostic Test: Physical activity of patients

• Registration Number: NCT05990647
• Lead Sponsor: Republican Specialized Scientific and Practical Medical Center of Surgery Named After V. Vakhidov

Brief Summary

Purpose of study is to assess perioperative functional parameters of the anterior abdominal wall muscles and postural control status in patients with large and giant incisional hernias in a controlled diagnostic study.

The study involved 95 patients (100% completed) with a large or giant incisional hernia of the anterior abdominal wall. The participants were divided into three groups by type of hernia repair: bridged hernia repair, Rives-Stoppa procedure, or TAR technique. Perioperative functional parameters of the anterior abdominal wall muscles were assessed by tension dynamometry. The postural balance assessments were made by raster photostereography.

Detailed Description

Not available

Study Timeline

• Study Start: 2018-01-02
• Primary Completion: 2022-12-31
• Study Completion: 2023-05-15
• Study First Submitted: 2023-07-22
• Status Verified: 2023-08
• Study First Submitted QC: 2023-08-06
• Last Update Submitted: 2023-08-06
• Study First Posted: 2023-08-14
• Last Update Posted: 2023-08-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 95

Inclusion Criteria

• big and giant incisional hernia
• hernia without recurrence
• age 18-75

Exclusion Criteria

• acute infection diseases
• cancer
• orthopedic diseases
• terminal status
• BMI>39,9

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group I	Physical activity of patients	32 patients who underwent classic abdominal wall anterior components separation and bridged hernia repair.
Group II	Assessment of the hernia defect size	34 patients who underwent posterior components separation with the internal oblique myofascial release by Rives-Stoppa
Group III	Dynamometric tension assessment	29 patients who underwent posterior components separation with transversus abdominis release (TAR).
Group I	Dynamometric tension assessment	32 patients who underwent classic abdominal wall anterior components separation and bridged hernia repair.
Group II	Dynamometric tension assessment	34 patients who underwent posterior components separation with the internal oblique myofascial release by Rives-Stoppa
Group II	Physical activity of patients	34 patients who underwent posterior components separation with the internal oblique myofascial release by Rives-Stoppa
Group III	Postural balance	29 patients who underwent posterior components separation with transversus abdominis release (TAR).
Group III	Physical activity of patients	29 patients who underwent posterior components separation with transversus abdominis release (TAR).
Group I	Postural balance	32 patients who underwent classic abdominal wall anterior components separation and bridged hernia repair.
Group I	Assessment of the hernia defect size	32 patients who underwent classic abdominal wall anterior components separation and bridged hernia repair.
Group III	Assessment of the hernia defect size	29 patients who underwent posterior components separation with transversus abdominis release (TAR).
Group II	Postural balance	34 patients who underwent posterior components separation with the internal oblique myofascial release by Rives-Stoppa

Primary Outcome Measures

Name	Time	Method
Diagnostic accuracy	1-2 weeks before surgical treatment and 6 months after reconstructive hernioplasty of postoperative ventral hernia	Sensitivity and specificity

Trial Locations

Locations (1)

Republican specialized scientific practical medical center of surgery named after V.V. Vakhidov; 🇺🇿 Tashkent, Uzbekistan