Prevention of Postoperative Ventral Hernias

NCT ID: NCT04562363

Last Updated: 2022-02-14

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

700 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-12-12

Study Completion Date

2021-12-12

Brief Summary

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The research is aimed at identifying factors of herniation after median laparotomy and developing surgical methods for preventing postoperative ventral hernias and eventrations.

Detailed Description

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At the first stage, an analysis of the prevalence of postoperative ventral hernias in patients after median laparotomies in urgent surgery will be performed, with the identification of factors contributing to the development of postoperative ventral hernias. At the next stage, the investigators will search for the most reliable methods of suturing the white line of the abdomen, taking into account the risk of hernia formation, with their implementation in patients operated in an emergency through median laparotomic access in comparison with traditionally used methods. In conclusion, an algorithm will be developed for selecting the method of surgical prevention of postoperative ventral hernias, taking into account the risk of their development.

Conditions

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Gangrenous Postoperative Ventral Hernia (Diagnosis) Dehiscence of Laparotomy Wound

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Low risk of herniation.

Use of any method of suturing, including modified.

Suturing of a laparotomic wound with modified methods

Intervention Type PROCEDURE

Suturing the white line of the abdomen with the help of developed techniques aimed at preventing hernias and eventrations

The average risk of hernia formation

The application of modified methods of closure of laparotomy wound.

Suturing of a laparotomic wound with modified methods

Intervention Type PROCEDURE

Suturing the white line of the abdomen with the help of developed techniques aimed at preventing hernias and eventrations

high risk of herniation

The use of alloplastic methods of closure of laparotomy wound.

Suturing of a laparotomic wound with modified methods

Intervention Type PROCEDURE

Suturing the white line of the abdomen with the help of developed techniques aimed at preventing hernias and eventrations

The presence of eventrations

The use of alloplastic methods of suturing a laparotomic wound in the absence of suppuration.

Suturing of a laparotomic wound with modified methods

Intervention Type PROCEDURE

Suturing the white line of the abdomen with the help of developed techniques aimed at preventing hernias and eventrations

Interventions

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Suturing of a laparotomic wound with modified methods

Suturing the white line of the abdomen with the help of developed techniques aimed at preventing hernias and eventrations

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Patients of both sexes aged 18 years and older who are expected to perform median laparotomy on a planned or emergency basis.
2. Patients who have signed an informed consent to participate in the study, after the purpose and meaning of the study have been explained to them.
3. Patients who follow the doctor's instructions.

Exclusion Criteria

1. The death of the patient.
2. Stage IV cancer
3. Hernia repair with hernioplasty, including simultaneous surgery
4. Refusal of the patient to cooperate with the researcher.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ryazan State Medical University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alexander Inyutin, PhD MD

Role: PRINCIPAL_INVESTIGATOR

RyazSMU

Locations

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RyazSMU

Ryazan, Ryazan Oblast, Russia

Site Status

RyazSMU

Ryazan, , Russia

Site Status

Countries

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Russia

Other Identifiers

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POVG12122021

Identifier Type: -

Identifier Source: org_study_id

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