Evaluation of Surgical Techniques in Cirrhotic Patients With Ventral Hernias

NCT ID: NCT04726644

Last Updated: 2021-01-27

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 148 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2017-01-01
• Study Completion Date: 2018-12-12

Brief Summary

ventral hernias are defects of the anterior abdominal wall, which can be congenital or acquired including epigastric, umbilical and incisional hernia. Umbilical hernias represent a common surgical problem in cirrhotic patient with ascites with 20% incidence. This work was deigned to assess outcome of different techniques of closure of ventral hernias in cirrhotic patients.

Detailed Description

Ventral hernias are defects of the anterior abdominal wall, which can be congenital or acquired including epigastric, umbilical and incisional hernia. Incisional ventral hernia is a frequent complication of laparotomy that occurs in up to 11 % of surgical abdominal wounds

Umbilical hernia represent a common surgical problem in cirrhotic patient with ascites with 20% incidence.Factors that play role in occurance of umbilical hernia in cirrhotic patient with ascites patients is chronic increased intra-abdominal pressure, recanalization of the left umbilical vein, muscle wasting and fascial weakening from nutritional deficiencies (3,4).

Most of interventions for umbilical herniorrhaphy in cirrhotic patients with ascites done in emergency setting due to the concept of high perioperative morbidity and mortality rates in those patients. However, this strategy leads to a high risk of life-threatening complications such as incarceration and skin rupture.

Conditions

Ventral Hernias in Cirrhotic Patients

Study Design

• Observational Model Type: CASE_ONLY
• Study Time Perspective: PROSPECTIVE

Study Groups

patients

cirrhotic patients with ventral hernia

hernia repair

Intervention Type: PROCEDURE

different methods for hernia repair

Interventions

hernia repair

different methods for hernia repair

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• all cirrhotic patients with ventral hernia

Exclusion Criteria

• hepatic encephalopathy

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Assiut University

OTHER

Sponsor Role: lead

Responsible Party

Ahmed Mohammed Abu Elfatth

Al-rahji University Hospital, Faculty of Medicine, Assiut, Egypt

Responsibility Role: PRINCIPAL_INVESTIGATOR

Other Identifiers

El-rajhi Liver Hospital

Identifier Type: -

Identifier Source: org_study_id