Abdominal Wall Repair With Strattice in Germany: a Cohort Study

NCT ID: NCT02168231

Last Updated: 2018-08-07

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

UNKNOWN

Total Enrollment

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-02-01

Study Completion Date

2018-12-31

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 to investigate the short and long term effects of the Strattice biological mesh. The investigators will also inquire why a biologic mesh was used and what the direct and indirect costs were.

Detailed Description

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Conditions

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Hernia of Abdominal Wall Biologic Mesh Strattice

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Complex abdominal wall repair Strattice

Complex abdominal wall repair Strattice

Complex abdominal wall repair Strattice

Intervention Type PROCEDURE

Not applicable (cross-sectional data from a cohort selected after initial complex abdominal wall surgery with Strattice)

Interventions

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Complex abdominal wall repair Strattice

Not applicable (cross-sectional data from a cohort selected after initial complex abdominal wall surgery with Strattice)

Intervention Type PROCEDURE

Other Intervention Names

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Strattice Porcine accelular dermal matrix Non-cross-linked biologic mesh

Eligibility Criteria

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Inclusion Criteria

* Age of 18 years or older
* Signed informed consent
* Abdominal wall repair
* Strattice mesh implantation prior to inclusion in BASE cohort

Exclusion Criteria

* Age under 18 years
* No signed informed consent
* Other operation than abdominal wall repair
* Other mesh than Strattice mesh
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Unfallkrankenhaus Berlin

OTHER

Sponsor Role collaborator

Johann Wolfgang Goethe University Hospital

OTHER

Sponsor Role collaborator

Diakoniekrankenhaus Friederikenstift

OTHER

Sponsor Role collaborator

Krankenhaus Agatharied Hausham

UNKNOWN

Sponsor Role collaborator

Technical University of Munich

OTHER

Sponsor Role collaborator

St. Josefs-Hospital Wiesbaden GmbH

OTHER

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: PRINCIPAL_INVESTIGATOR

Erasmus Medical Center

Locations

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Trauma Hospital Berlin

Berlin, , Germany

Site Status

Johann Wolfgang Goethe-University

Frankfurt am Main, , Germany

Site Status

Diakoniekrankenhaus Friederikenstiftung

Hanover, , Germany

Site Status

Agatharied Hospital

Hausham, , Germany

Site Status

Klinikum rechts der Isar, Technical University of Munich

München, , Germany

Site Status

St. Josefs-Hospital Wiesbaden

Wiesbaden, , Germany

Site Status

Countries

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Germany

References

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Kaufmann R, Isemer FE, Strey CW, Jeekel J, Lange JF, Woeste G. Non-cross-linked biological mesh in complex abdominal wall hernia: a cohort study. Langenbecks Arch Surg. 2020 May;405(3):345-352. doi: 10.1007/s00423-020-01881-4. Epub 2020 Apr 22.

Reference Type DERIVED
PMID: 32323007 (View on PubMed)

Other Identifiers

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BASE cohort study

Identifier Type: -

Identifier Source: org_study_id

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