A Prospective Multicentre Study Evaluating the Outcomes of the Abdominal Wall Dehiscence Repair Using Posterior Component Separation With Transversus Abdominis Muscle Release Reinforced by a Retro-muscular Mesh - Filling a Step

NCT ID: NCT05278117

Last Updated: 2022-09-07

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 202 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2014-06-01
• Study Completion Date: 2022-02-01

Brief Summary

Purpose: This study determined the incidence of burst abdomen recurrent (BAR), incisional hernia(IH), and surgical site occurrence (SSO) following burst abdomen surgical treatment after abdominal midline incisions using a posterior component separation(CS) technique with transversus abdominis muscle release (TAR) reinforced by retro-muscular mesh technique.

Methods: Between June 2014 and April 2018, 202 patients with grade IA BA (Björck's first classification) were treated in a prospective multiple-center cohort study.

Detailed Description

This study determined the incidence of burst abdomen recurrent (BAR), incisional hernia(IH), and surgical site occurrence (SSO) following burst abdomen surgical treatment after abdominal midline incisions using a posterior component separation(CS) technique with transversus abdominis muscle release (TAR) reinforced by retro-muscular mesh technique.

Methods: Between June 2014 and April 2018, 202 patients with grade IA BA (Björck's first classification) were treated in a prospective multiple-center cohort study.

Conditions

Abdominal Wall Defect

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

complete burst abdomen repair

complete burst abdomen repair

Group Type: EXPERIMENTAL

outcomes of complete burst abdomen repair using posterior component separation technique with transversus abdominis muscle release reinforced by sublay mesh

Intervention Type: PROCEDURE

outcomes of complete burst abdomen repair using posterior component separation technique with transversus abdominis muscle release reinforced by sublay mesh

Interventions

outcomes of complete burst abdomen repair using posterior component separation technique with transversus abdominis muscle release reinforced by sublay mesh

outcomes of complete burst abdomen repair using posterior component separation technique with transversus abdominis muscle release reinforced by sublay mesh

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• BA Grade IA according to Björck's initial classification following midline laparotomy from various departments,
• ≥ 18 years
• both sex
• emergency or elective surgery

Exclusion Criteria

• BA grade 1B,2,3, and 4 according to Björck's initial classification,
• < 18 years,
• primary laparotomy performed through a non-midline incision, open abdomen,
• if another laparotomy had been performed between the surgery for BA and the end of the follow-up period,
• concomitant intra-abdominal surgery, abdominal complications during BA surgery,
• adherent bowel to the defect edge that cannot be separated,
• patients lost during follow up,
• presence of intra-abdominal contamination that cannot be controlled radiologically,
• history of previous BA repair,
• stoma exteriorized from the midline primary wound,
• temporarily wound closure techniques,
• prior abdominal surgeries other than operation resulted in BA,
• prior abdominal wall hernia repair with or without mesh,
• history of collagen diseases

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Zagazig University

OTHER_GOV

Sponsor Role: lead

Responsible Party

Tamer Alsaied Alnaimy

assistant professour of general and laparoscopic surgery

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Alnaimy alnaimy, Phd

Role: PRINCIPAL_INVESTIGATOR

Zagazig University

Locations

Tamer Alsaied Alnaimy

Zagazig, Sharqia Province, Egypt

Countries

Egypt

References

Habeeb TAAM, Hussain A, Shelat V, Chiaretti M, Bueno-Lledo J, Garcia Fadrique A, Kalmoush AE, Elnemr M, Safwat K, Raafat A, Wasefy T, Heggy IA, Osman G, Abdelhady WA, Mawla WA, Fiad AA, Elaidy MM, Amr W, Abdelhamid MI, Abdou AM, Ibrahim AIA, Baghdadi MA. A prospective multicentre study evaluating the outcomes of the abdominal wall dehiscence repair using posterior component separation with transversus abdominis muscle release reinforced by a retro-muscular mesh: filling a step. World J Emerg Surg. 2023 Mar 3;18(1):15. doi: 10.1186/s13017-023-00485-9.

Reference Type: DERIVED

PMID: 36869364 (View on PubMed)

Other Identifiers

burst abdomen

Identifier Type: -

Identifier Source: org_study_id