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Randomized Trial on Scarpa Fascia Preservation During Hernio-abdominoplasty

Not Applicable
Completed
Conditions
Ventral Hernia
Interventions
Procedure: Scarpa's preserving hernio-abdominoplasty
Procedure: Classical hernio-abdominoplasty
Registration Number
NCT03721575
Lead Sponsor
Mansoura University
Brief Summary

This randomized trial aimed to assess the efficacy of preservation of Scarpa's fascia during hernio-abdominoplasty in reducing the volume of postoperative drainage, accelerating time to drain removal and recovery, and reducing complication rate.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
50
Inclusion Criteria
  • Patients with complex ventral hernia that are fit for surgery (ASA class I and II) (Saklad, 1941).
  • Patients with class III, IV according to Pitanguy's classification of abdominal deformities (Pitanguy, 1995).
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Exclusion Criteria
  1. Patient with ASA class III, IV, and V.
  2. Morbid obesity (BMI > 40).
  3. Recurrent incisional hernias after mesh hernioplasty.
  4. Strangulated hernias.
  5. Isolated small paraumbilical hernias.
  6. Patients with abdominal organomegaly and/or ascites.
  7. Patients with coagulopathy,
  8. Patients who are heavy smokers, patients with pulmonary problems, and patients with uncontrolled diabetes.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Scarpa's preserving hernio-abdominoplastyScarpa's preserving hernio-abdominoplastyHernio-abdominoplasty is performed with preservation of Scarpa's fascia.
Classical hernio-abdominoplastyClassical hernio-abdominoplastyHernio-abdominoplasty is performed with removalof Scarpa's fascia.
Primary Outcome Measures
NameTimeMethod
Volume of postoperative drainageTwo weeks after surgery

The volume of fluid drained through suction drains per 24 hours

Secondary Outcome Measures
NameTimeMethod
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