Utility of a Supraaponeurotic Mesh as Prophylaxis of the Midline Eventration After an Oncological Colorrectal Resection
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Eventration
- Sponsor
- Instituto de Investigacion Sanitaria La Fe
- Enrollment
- 154
- Locations
- 1
- Primary Endpoint
- Eventration rate
- Last Updated
- 6 years ago
Overview
Brief Summary
Randomized prospective experimental study, in which the effect of a prophylactic mesh is assessed in the eventration rate diagnosed by CT at one year after surgery in patients with CRC who underwent elective intervention for supra-infraumbilical midline laparotomy, considering as treatment the supra-aponeurotic mesh positioning (experimental group), and comparing it to the standard closing with a continuous suture using slow absorption monofilament.
Detailed Description
Randomized prospective experimental study, in which we evaluate patients with CRC who underwent elective intervention for supra-infraumbilical midline laparotomy in order to: Main objective: - To assess the effect of the prophylactic mesh in the eventration rate diagnosed by CT at one year after surgery in patients with CRC who underwent elective intervention for supra-infraumbilical midline laparotomy. Secondary objectives: * To compare the appearance of complications in the control group and in the experimental group. * Compare costs derived from short and long-term mesh placement in both groups. We consider as treatment the supra-aponeurotic mesh positioning (experimental group), and compare it to the standard closing with slow absorption monofilament.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Elective surgery for colorectal cancer.
- •Surgery by middle laparotomy.
- •Informed consent signed by the patient.
- •Age \> 18 years.
Exclusion Criteria
- •Midline hernia or eventration.
- •Presence of mesh in the abdominal wall because of a previous surgery.
- •Palliative surgery.
- •Synchronous metastases (Stage IV cancer according to TNM).
Outcomes
Primary Outcomes
Eventration rate
Time Frame: 1 year
To assess the effect of the prophylactic mesh in the eventration rate diagnosed by CT at one year after surgery in patients with CRC who underwent elective intervention for supra-infraumbilical midline laparotomy.
Secondary Outcomes
- Complications rate(1 year)
- Short and long term derived costs(1 year)