Prevention of Abdominal Incisional Hernia After Laparoscopic Digestive Surgery in Obese Patients (BMI>30kg/m2)

NCT ID: NCT04537546

Last Updated: 2020-09-03

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

Clinical Phase

NA

Total Enrollment

350 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-26

Study Completion Date

2022-04-15

Brief Summary

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The hypothesis of this study is to show that after laparoscopic digestive surgery in obese patients (BMI\>30kg/m2), the wearing of an abdominal support belt is an effective treatment for the Incisional Hernia and feasible in terms of compliance, quality of life and patient satisfaction

Detailed Description

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The study will be conducted at the Institut Mutualiste Montsouris, it is planned to include 350 patients in 12 months, the duration of participation of each patient is 24 months.

An orthopaedist will see patients in consultation to take their measurements, patients complete a quality of life questionnaire (the SF 36), when they are admitted for surgery.

After surgery, patients begin wearing their belts according to the instructions given by the surgeon during hospitalization:

* Start wearing the belt as soon as possible.
* wear it according to its recommendations: all day, every day of the week and for two months.

Patients should record the number of hours they would have worn their belts in the EVINOV logbook each day.

The studu Co will contact patients by phone every two weeks for the 2 months they will be wearing the belt.

At the one-month post-operative consultation, the patient will complete a quality of life questionnaire again (the SF 36).

Two months after surgery, patients receive a final SF 36 questionnaire by mail, with a satisfaction scale to evaluate their overall feeling around the period of wearing the abdominal belt. Patients are asked to return these two documents, as well as the EVINOV logbook.

The latest health data collection is the imaging data from the abdominal CT scan at 24 months, which will show the presence or absence of an incisional hernia.

Conditions

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Obesity

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Feasibility study, single arm, interventional and prospective.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Elasto compression belt

all patients must wear the belt 2 months after laparoscopic digestive surgery.

Group Type EXPERIMENTAL

OBESINOV elasto-compressive belt

Intervention Type DEVICE

It is a customised medical device, using a technique for calculating the compression ratio adapted to each patient according to his morphology

Interventions

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OBESINOV elasto-compressive belt

It is a customised medical device, using a technique for calculating the compression ratio adapted to each patient according to his morphology

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Must be ≥18 years of age.
* Signed an informed consent form (ICF) indicating that the subject understands the purpose of and procedures required for the study.
* Having a BMI \>30kg/m2.
* Affiliated to health insurance regimen.
* Having undergone laparoscopic digestive surgery

Exclusion Criteria

* Pregnancy or breastfeeding.
* Patient under guardianship or unable to give consent.
* People particularly protected by French law.
* Having undergone laparoscopic digestive surgery with ileostomy or ostomy closure.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institut Mutualiste Montsouris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Guillaume Pourcher, Dr

Role: STUDY_CHAIR

Institut Mutualiste Montsouris

Locations

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Institut Mutualiste Montsouris

Paris, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Isabelle Sauret

Role: CONTACT

0156616968 ext. 0033

Mouloud Bellahoues

Role: CONTACT

0156616486 ext. 0033

Facility Contacts

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Guillaume Pourcher, Dr

Role: primary

0156616309 ext. 0033

References

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Lee DY, Rehmani SS, Guend H, Park K, Ross RE, Alkhalifa M, McGinty JJ, Teixeira JA. The incidence of trocar-site hernia in minimally invasive bariatric surgery: a comparison of multi versus single-port laparoscopy. Surg Endosc. 2013 Apr;27(4):1287-91. doi: 10.1007/s00464-012-2597-5. Epub 2012 Dec 12.

Reference Type BACKGROUND
PMID: 23232997 (View on PubMed)

Agaba EA, Rainville H, Ikedilo O, Vemulapali P. Incidence of port-site incisional hernia after single-incision laparoscopic surgery. JSLS. 2014 Apr-Jun;18(2):204-10. doi: 10.4293/108680813X13693422518317.

Reference Type BACKGROUND
PMID: 24960483 (View on PubMed)

Bosanquet DC, Ansell J, Abdelrahman T, Cornish J, Harries R, Stimpson A, Davies L, Glasbey JC, Frewer KA, Frewer NC, Russell D, Russell I, Torkington J. Systematic Review and Meta-Regression of Factors Affecting Midline Incisional Hernia Rates: Analysis of 14,618 Patients. PLoS One. 2015 Sep 21;10(9):e0138745. doi: 10.1371/journal.pone.0138745. eCollection 2015.

Reference Type BACKGROUND
PMID: 26389785 (View on PubMed)

Weissler JM, Lanni MA, Hsu JY, Tecce MG, Carney MJ, Kelz RR, Fox JP, Fischer JP. Development of a Clinically Actionable Incisional Hernia Risk Model after Colectomy Using the Healthcare Cost and Utilization Project. J Am Coll Surg. 2017 Aug;225(2):274-284.e1. doi: 10.1016/j.jamcollsurg.2017.04.007. Epub 2017 Apr 23.

Reference Type BACKGROUND
PMID: 28445797 (View on PubMed)

Other Identifiers

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DIG-02-2018

Identifier Type: -

Identifier Source: org_study_id

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