A Prospective Multicentre Study Evaluating the Outcomes of the Abdominal Wall Dehiscence Repair Using Posterior Component Separation With Transversus Abdominis Muscle Release Reinforced by a Retro-muscular Mesh - Filling a Step
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 202
- 试验地点
- 1
- 主要终点
- incisional hernia
研究概览
简要总结
Purpose: This study determined the incidence of burst abdomen recurrent (BAR), incisional hernia(IH), and surgical site occurrence (SSO) following burst abdomen surgical treatment after abdominal midline incisions using a posterior component separation(CS) technique with transversus abdominis muscle release (TAR) reinforced by retro-muscular mesh technique.
Methods: Between June 2014 and April 2018, 202 patients with grade IA BA (Björck's first classification) were treated in a prospective multiple-center cohort study.
详细描述
This study determined the incidence of burst abdomen recurrent (BAR), incisional hernia(IH), and surgical site occurrence (SSO) following burst abdomen surgical treatment after abdominal midline incisions using a posterior component separation(CS) technique with transversus abdominis muscle release (TAR) reinforced by retro-muscular mesh technique.
Methods: Between June 2014 and April 2018, 202 patients with grade IA BA (Björck's first classification) were treated in a prospective multiple-center cohort study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 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
- •BA Grade IA according to Björck's initial classification following midline laparotomy from various departments,
- •≥ 18 years
- •emergency or elective surgery
排除标准
- •BA grade 1B,2,3, and 4 according to Björck's initial classification,
- •< 18 years,
- •primary laparotomy performed through a non-midline incision, open abdomen,
- •if another laparotomy had been performed between the surgery for BA and the end of the follow-up period,
- •concomitant intra-abdominal surgery, abdominal complications during BA surgery,
- •adherent bowel to the defect edge that cannot be separated,
- •patients lost during follow up,
- •presence of intra-abdominal contamination that cannot be controlled radiologically,
- •history of previous BA repair,
- •stoma exteriorized from the midline primary wound,
- •temporarily wound closure techniques,
- •prior abdominal surgeries other than operation resulted in BA,
- •prior abdominal wall hernia repair with or without mesh,
- •history of collagen diseases
研究组 & 干预措施
complete burst abdomen repair
complete burst abdomen repair
干预措施: outcomes of complete burst abdomen repair using posterior component separation technique with transversus abdominis muscle release reinforced by sublay mesh (Procedure)
结局指标
主要结局
incisional hernia
时间窗: 3.5 years
incidence of incisional hernia measured by clinical examination and computerized tomography by %
recurrent burst abdomen
时间窗: 3.5 years
incidence of recurrent burst abdomen by %
次要结局
- incidence of surgical site infection(30 days)
研究者
Tamer Alsaied Alnaimy
assistant professour of general and laparoscopic surgery
Zagazig University