Multicenter, Prospective, Longitudinal and Randomized Comparison of Both the Clinical and Economic Impact of Biosynthetic Absorbable Mesh to the Surgical Standard of Care in Contaminated Incisional Hernia Repair
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Ventral Hernia Repair
- Sponsor
- Hospices Civils de Lyon
- Enrollment
- 108
- Locations
- 1
- Primary Endpoint
- Rate of incisional hernia recurrence
- Status
- Recruiting
- Last Updated
- 3 years ago
Overview
Brief Summary
Incisional hernia is one of the most common complications of abdominal surgery and carries a significant burden for both patients and the economic health service. However, no consensus for the surgical treatment of incisional hernia in contaminated field is currently available. The purpose of the COMpACT-BIO study is to investigate the clinical and economic benefit of the use of biosynthetic mesh in contaminated incisional hernia repair.
Detailed Description
The current standard of incisional hernia repair is reinforcement with permanent synthetic mesh. However, permanent synthetic mesh is contraindicated in contaminated surgical field due to higher risk of postoperative infection. In order to resist to infection, absorbable meshes, such as biological and biosynthetic meshes, have been developped. However, some controversies exist about the clinical benefit of biological meshes in the long term. Reasons for theses controversies are their overall risk of complication and recurrence and the lack of consensus in which surgical technique to apply. Moreover, the financial cost of biological meshes is very high. Recently developed, biosynthetic meshes appear to be a promising option ; Compared to biological meshes, they seem to have several advantages. However, such data demonstrating the beneficial use of biosynthetic mesh in contaminated incisional hernia repair is not available. In this regard, the COMpACT-BIO study aims to investigate the clinical and economic benefit of the use of biosynthetic mesh in contaminated incisional hernia repair in comparison to the standard of repair. This is a multicenter, prospective, longitudinal and randomized study, which also offers a standardized technique of repair.
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Rate of incisional hernia recurrence
Time Frame: 3 years after surgery
The rate of incisional hernia recurrence will be evaluated by radiologic imaging.
Secondary Outcomes
- Rate of screening failure(48 months after the start of the study)
- Incidence of re-operation related to incisional hernia repair(For 3 years after surgery)
- Days of hospitalization related to incisional hernia repair(For 3 years after surgery)
- Incidence of wound events(1 month from surgery date, then 3-, 6- 12-, 24- and 36 months from surgery date)
- Assessment of health care consumption related to health care status(pre and post-surgery (1 month from surgery date, then 3, 6, 12, 24 and 36 months from surgery date).)
- Incidence of revision surgery or interventional radiologic procedure(1 month from surgery date, then 3-, 6- 12-, 24- and 36 months from surgery date)
- Rate of early incisional hernia recurrence(1 month from surgery date, then 3-, 6- 12-, 24- and 36 months from surgery date)
- Incisional hernia specific quality-of-life assessment(Pre and post-surgery (1 month from surgery date, then 3, 6, 12, 24 and 36 months from surgery date).)
- Number of healing days(1 month from surgery date, then 3-, 6- 12-, 24- and 36 months from surgery date)