Mesh Implantation for Prophylaxis of Incisional Hernia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 150
- 试验地点
- 1
- 主要终点
- Incidence of incisional hernia
研究概览
简要总结
Incisional hernias are primarily repaired using prosthetic meshes. In Switzerland such meshes are mainly implanted via open or laparoscopic approach. The differential impact of these two types of surgical technique on recurrence rate will be investigated with this study.
With this multicenter cohort study the outcomes of laparoscopic and open incisional hernia repair will be investigated prospectively. Hernia recurrence is the main outcome measure.
详细描述
Background
Incisional hernia is one of the most common complication in general abdominal surgery. An overall incidence of 20% has been found in retrospective studies, ranging in up to 50% of patients with selected risk factors such as obesity.
In the general surgical patient the current standard is the closure of the abdominal wall using a running, slowly absorbable suture. With this well established clinical practice the incidence remains high and incisional hernia repair must be performed frequently in order to treat patients'symptoms and to prevent progression of the hernia an possible complications.
Consequently, in high risk patients prophylactic mesh implantation is performed routinely in our institution.
Objective
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
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
- •Occurrence of at least two of the following factors:
- •Male gender
- •Malignant tumor present
- •Body mass index above 25
- •Previous laparatomy
- •Elective operation
- •Patient > 18 years
- •Written informed consent
- •Exclusion Criteria
- •Previous intra-abdominal mesh placement
- •Emergency procedures
- •Previous incisional hernia
- •Inflammatory bowel disease
排除标准
- 未提供
结局指标
主要结局
Incidence of incisional hernia
时间窗: 3 years
次要结局
- Intraoperative complications(3 years)
- Direct in-hospital costs(3 years)
- Postoperative complications(3 years)