The Permacol Dutch Cohort Study

NCT ID: NCT02166112

Last Updated: 2017-04-07

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

Total Enrollment

77 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-04-30

Study Completion Date

2014-05-31

Brief Summary

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Incisional hernia is the most frequently seen long term complication in surgery causing much morbidity and even mortality in patients. Despite studies on the optimal closing technique for laparotomies, the risk for incisional hernia after midline incision remains about 5-20 %. It has been established that implementing a mesh reduces recurrence of the incisional hernia but still the results of repair are often disappointing. Incisional hernias can become increasingly complex due to complicated abdominal wall defects caused by a disturbed anatomy, fistulas, burst abdomen, wound and mesh infections. In these cases it is not save to repair the incisional hernia by means of a synthetic mesh and other augmentation tools need to be implemented.

In the recent years the use of biological meshes has been gaining popularity. Recent reports of the use of collagen-based prosthesis have suggested that they support new vessel growth, do not excite a significant foreign body reaction, form fewer adhesions, are well incorporated into host tissues with minimal wound contraction, and can be used in grossly contaminated wounds with fewer infective complications. Biologic meshes are harvested from a source tissue and processed for medical use but they vary widely in their processing methods. They include tissues of human or animal origins, both chemically cross-linked and non cross-linked processes, and submucosal, pericardial, or dermal tissue sources. Current studies investigating the effectiveness of these meshes are small and have short periods of follow-up. These shortcomings can be explained to high cost of the meshes and unclear indication when to use a biological mesh.

The aim of this study is investigate the short and long term effects of the Permacol© biological mesh. Also the investigators will be inquiring why a biologic mesh was used, what is the true indication to use a biological mesh.

Detailed Description

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Conditions

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Hernia of Abdominal Wall Biologic Implant Infected Hernioplasty Mesh

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Permacol mesh placement

No intervention performed

Permacol mesh placement

Intervention Type PROCEDURE

All patients were treated for a complex abdominal wall hernia by implantation of Permacol mesh. This intervention took place before patients were included in the cohort.

Interventions

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Permacol mesh placement

All patients were treated for a complex abdominal wall hernia by implantation of Permacol mesh. This intervention took place before patients were included in the cohort.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Signed informed consent
* Complicated abdominal wall hernia repair
* Permacol© mesh implantation

Exclusion Criteria

* No signed informed consent
* Operation other than Complicated abdominal wall hernia repair
* Implant other than Permacol© mesh implantation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Amphia, Breda, the Netherlands

UNKNOWN

Sponsor Role collaborator

Catharina Ziekenhuis Eindhoven

OTHER

Sponsor Role collaborator

Franciscus, Roosendaal, the Netherlands

UNKNOWN

Sponsor Role collaborator

Groene Hart, Gouda, the Netherlands

UNKNOWN

Sponsor Role collaborator

Havenziekenhuis

OTHER

Sponsor Role collaborator

Lievensberg, Bergen op Zoom, the Netherlands

UNKNOWN

Sponsor Role collaborator

Medical Center Haaglanden

OTHER

Sponsor Role collaborator

MC Leeuwarden, Leeuwarden, the Netherlands

UNKNOWN

Sponsor Role collaborator

Meander MC, Amersfoort, the Netherlands

UNKNOWN

Sponsor Role collaborator

Maastricht University Medical Center

OTHER

Sponsor Role collaborator

Nij Smellinghe, Drachten, the Netherlands

UNKNOWN

Sponsor Role collaborator

OLVG, Amsterdam, the Netherlands

UNKNOWN

Sponsor Role collaborator

Orbis MC, Sittard, the Netherlands

UNKNOWN

Sponsor Role collaborator

Reinier de Graaf Groep

OTHER

Sponsor Role collaborator

Rijnstate, Arnhem, the Netherlands

UNKNOWN

Sponsor Role collaborator

Spaarne ziekenhuis, Hoofddorp, the Netherlands

UNKNOWN

Sponsor Role collaborator

Tergooi ziekenhuizen, Hilversum, the Netherlands

UNKNOWN

Sponsor Role collaborator

The Elisabeth-TweeSteden Hospital

OTHER

Sponsor Role collaborator

UMC Groningen, Groningen, the Netherlands

UNKNOWN

Sponsor Role collaborator

UMC Utrecht, Utrecht, the Netherlands

UNKNOWN

Sponsor Role collaborator

VieCuri, Venlo, the Netherlands

UNKNOWN

Sponsor Role collaborator

Waterland, Purmerend, the Netherlands

UNKNOWN

Sponsor Role collaborator

Zuyderland Medisch Centrum, Sittard-Geleen, the Netherlands

UNKNOWN

Sponsor Role collaborator

Erasmus Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Ruth Kaufmann, MD

PhD fellow

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ruth Kaufmann, MD

Role: STUDY_CHAIR

Erasmus Medical Center

Locations

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Meander MC

Amersfoort, , Netherlands

Site Status

Onze Lieve Vrouwe Gasthuis

Amsterdam, , Netherlands

Site Status

Rijnstate

Arnhem, , Netherlands

Site Status

Lievensberg

Bergen op Zoom, , Netherlands

Site Status

Amphia

Breda, , Netherlands

Site Status

Reinier de Graaf Gasthuis

Delft, , Netherlands

Site Status

Nij Smellinghe

Drachten, , Netherlands

Site Status

Catharina

Eindhoven, , Netherlands

Site Status

Groene Hart

Gouda, , Netherlands

Site Status

UMC Groningen

Groningen, , Netherlands

Site Status

Atrium MC

Heerlen, , Netherlands

Site Status

Tergooi ziekenhuizen

Hilversum, , Netherlands

Site Status

Spaarne ziekenhuis

Hoofddorp, , Netherlands

Site Status

MC Leeuwarden

Leeuwarden, , Netherlands

Site Status

MUMC+

Maastricht, , Netherlands

Site Status

Waterland

Purmerend, , Netherlands

Site Status

Franciscus

Roosendaal, , Netherlands

Site Status

Erasmus University Medical Center

Rotterdam, , Netherlands

Site Status

Havenziekenhuis

Rotterdam, , Netherlands

Site Status

Orbis MC

Sittard, , Netherlands

Site Status

MC Haaglanden

The Hague, , Netherlands

Site Status

TweeSteden

Tilburg, , Netherlands

Site Status

UMC Utrecht

Utrecht, , Netherlands

Site Status

VieCuri

Venlo, , Netherlands

Site Status

Countries

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Netherlands

References

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Kaufmann R, Timmermans L, van Loon YT, Vroemen JPAM, Jeekel J, Lange JF. Repair of complex abdominal wall hernias with a cross-linked porcine acellular matrix: cross-sectional results of a Dutch cohort study. Int J Surg. 2019 May;65:120-127. doi: 10.1016/j.ijsu.2019.03.023. Epub 2019 Apr 1.

Reference Type DERIVED
PMID: 30946996 (View on PubMed)

Other Identifiers

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Permacol Dutch Cohort Study

Identifier Type: -

Identifier Source: org_study_id

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