Abdominoplasty with Ventral Hernia Repair Versus Hernioplasty .
NCT ID: NCT05792839
Last Updated: 2024-12-18
Study Results
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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NOT_YET_RECRUITING
NA
52 participants
INTERVENTIONAL
2025-03-01
2025-10-01
Brief Summary
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Detailed Description
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Ventral hernias of the abdomen are defined as a non-inguinal, nonhiatal defect in the fascia of the abdominal wall. Annually, there are about 350,000 ventral hernia operations. The repair of these abdominal wall defects is a common surgery performed by general surgeons. Surgery is typically recommended for individuals with acceptable operative risk, symptomatic hernias, or those at elevated risk of developing complications from a hernia. They can affect an individual's quality of life and can lead to hospitalizations and even death in some cases.\[1\]\[2\]\[3\] Common causes of acquired ventral hernias include previous surgery causing an incisional hernia, trauma, and repetitive stress on naturally weak points of the abdominal wall. These naturally occurring weak points in the abdominal wall include the umbilicus, semilunar line, ostomy sites, bilateral inguinal regions, and esophageal hiatus. Obesity is a large component of hernias as well because it stretches the fascia of the abdomen causing it to weaken. Specifically, the action of repetitive weight gain and loss leads to weakening.\[4\] Reported recurrence rates after VHR in the literature vary widely and range from 2.7% to 20% for primary ventral hernia (umbilical and epigastric) to 32-37% for incisional hernia repairs, depending on the series in question. (5) Abdominoplasty can be performed in combination with hernia repair in patients with ventral hernias, especially when associated with large midline ventral hernias, diastasis of recti and the associated laxity and abdominal shape deformity, represent aesthetic and functional problems for the patients. So, the surgical treatment of both pathologies at the same time is highly recommended if the patient's general condition permits. This can be achieved by a comprehensive technique incorporating abdominoplasty performed by a transverse lower abdominal incision into any of the hernia repair techniques.(6) The procedure continues to become increasingly popular, and this is attributed to the increasing rates of obesity and subsequent use of weight loss surgery
Aim(s) of the Research (50 words max):
Is to compare the outcome and efficacy of the combined procedure of (abdominoplasty and hernioplasty) to hernioplasty alone according to rate of post operative recurrence of hernia .
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Concomitant abdominoplasty with ventral hernia repair .
We do abdominoplasty with concomitant repair of the hernial defect and abdominal wall muscles in the same setting.
Abdominoplasty with ventral hernia repair versus ventral hernioplasty.
We do surgical treatment for ventral hernia in the form of hernioplasty with surgical mesh placement or by means of abdominoplasty surgical technique.
Ventral Hernioplasty
We do hernioplasty with mesh placement for a surgical treatment for ventral hernia.
Abdominoplasty with ventral hernia repair versus ventral hernioplasty.
We do surgical treatment for ventral hernia in the form of hernioplasty with surgical mesh placement or by means of abdominoplasty surgical technique.
Interventions
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Abdominoplasty with ventral hernia repair versus ventral hernioplasty.
We do surgical treatment for ventral hernia in the form of hernioplasty with surgical mesh placement or by means of abdominoplasty surgical technique.
Eligibility Criteria
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Inclusion Criteria
Female patients.
Exclusion Criteria
20 Years
60 Years
FEMALE
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Mark Natey Abdo Barsom
Resident at general and laparoscopic surgery department , assiut university hospital.
Central Contacts
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Other Identifiers
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Abdominoplasty & hernia
Identifier Type: -
Identifier Source: org_study_id