Primary Prevention of Peristomial Hernias Via Parietal Prostheses

NCT ID: NCT01380860

Last Updated: 2025-12-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-11-30

Study Completion Date

2018-12-31

Brief Summary

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The purpose of this study is to compare rates of hernia formation between colostomies created with no hernia preventing mesh versus colostomies created with a particular mesh.

Detailed Description

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Previous studies indicate that implanting mesh for peristomal hernia repair may efficiently prevent hernia relapse. However, mesh provides a good infection site, which is not a desirable characteristic for a material adjacent to a colostomy "port". Our goal is to implement a high-quality, randomized trial to demonstrate whether or not systematic mesh implantation upon primary hernia creation is an effective means of avoiding this common and troublesome complication.

Conditions

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Parastomal Hernia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Mesh

The patients allocated to this arm of the study will have mesh (Covidien France: mono filament polyester bidimensional knit) implanted in association with their colostomy.

Group Type EXPERIMENTAL

Colostomy with mesh implantation

Intervention Type PROCEDURE

Colostomy with mesh implantation

No mesh

The patients allocated to this arm of the protocol will not receive mesh implantation with their colostomy.

Group Type ACTIVE_COMPARATOR

Simple colostomy

Intervention Type PROCEDURE

Colostomy with no mesh implantation.

Interventions

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Colostomy with mesh implantation

Colostomy with mesh implantation

Intervention Type PROCEDURE

Simple colostomy

Colostomy with no mesh implantation.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* The patient has given informed consent
* The patient must be affiliated with a health insurance programme
* The patient must be available for 24 months of follow-up
* The patient requires a colostomy (primo-event, ie first colostomies only)

Exclusion Criteria

* The patient is currently participating in another interventional study
* The patient is in an exclusion period determined by a previous study
* The patient is under guardianship
* The patient refuses to sign the consent
* It is impossible to communicate information to the patient (does not read French)
* The patient is pregnant
* The patient is breastfeeding
* There is a contra-indication for any treatment used in this study
* The subject has already had a colostomy
* The subject has peritonitis
* The subject needs a colostomy for infectious reasons
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire de Nīmes

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michel Prudhomme, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Centre Hospitalier Universitaire de Nîmes

Locations

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CHRU de Besancon

Besançon, , France

Site Status

CHU de Bordeaux

Bordeaux, , France

Site Status

CHRU de Clermont Ferrand

Clermont-Ferrand, , France

Site Status

APHP - Hôpital Beaujon

Clichy, , France

Site Status

Hôpital Albert Michallon, CHU de Grenoble

Grenoble, , France

Site Status

APHP - Centre Hospitalier Universitaire de Bicêtre

Le Kremlin-Bicêtre, , France

Site Status

Centre de Lutte Contre le Cancer - Centre Oscar Lambret

Lille, , France

Site Status

CHRU de Lille - Hôpital Claude Huriez

Lille, , France

Site Status

CHU de Lyon

Lyon, , France

Site Status

Centre Régional de Lutte Contre le Cancer - Institut Paoli-Calmettes

Marseille, , France

Site Status

APHM - Hôpital La Timone Adultes

Marseille, , France

Site Status

Centre Régional de Lutte Contre le Cancer Val d'Aurelle - Paul Lamarque

Montpellier, , France

Site Status

CHU de Nantes

Nantes, , France

Site Status

Centre Hospitalier Universitaire de Nîmes

Nîmes, , France

Site Status

APHP - Hôpital Lariboisière

Paris, , France

Site Status

APHP - Hôpital Saint-Antoine

Paris, , France

Site Status

APHP - Groupe Hospitalier Pitié-Salpetrière

Paris, , France

Site Status

Hôpital Pontchailou

Rennes, , France

Site Status

CHU de Rouen

Rouen, , France

Site Status

Centre Régional de Lutte contre le Cancer Centre Paul Strauss

Strasbourg, , France

Site Status

CHU de Toulouse

Toulouse, , France

Site Status

CH de Vichy - Jacques Larin

Vichy, , France

Site Status

Countries

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France

References

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Prudhomme M, Rullier E, Lakkis Z, Cotte E, Panis Y, Meunier B, Rouanet P, Tuech JJ, Jafari M, Portier G, Dubois A, Sielezneff I, Parc Y, Faucheron JL, Meurette G, Lelong B, Piessen G, Karoui M, Fabbro-Peray P, Demattei C, Bertrand MM; GRECCAR research group. End Colostomy With or Without Mesh to Prevent a Parastomal Hernia (GRECCAR 7): A Prospective, Randomized, Double Blinded, Multicentre Trial. Ann Surg. 2021 Dec 1;274(6):928-934. doi: 10.1097/SLA.0000000000004371.

Reference Type RESULT
PMID: 33201089 (View on PubMed)

Prudhomme M, Alline M, Chauvat J, Fabbro-Perray P, Ripoche J, Bertrand MM; French Research Group of Rectal Cancer Surgery (GRECCAR). Primary prevention of peristomial hernias via parietal prostheses: A randomized, multicentric study (GRECCAR 7 trial). Dig Liver Dis. 2016 Jul;48(7):812-6. doi: 10.1016/j.dld.2016.03.020. Epub 2016 Apr 5.

Reference Type DERIVED
PMID: 27130912 (View on PubMed)

Other Identifiers

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2011-A01572-39

Identifier Type: OTHER

Identifier Source: secondary_id

PHRC-N/2011/MP-01

Identifier Type: -

Identifier Source: org_study_id

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