Prophylactic Mesh Placement During Stoma Closure After Low Anterior Resection

NCT ID: NCT05939687

Last Updated: 2024-08-07

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

142 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-05

Study Completion Date

2028-12-01

Brief Summary

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The goal of this clinical trial is to compare the efficacy of using polypropylene mesh for hernia prevention after stoma closure in patients with colorectal cancer and non-mesh repair. The main question it aims to answer is: can mesh help prevent hernia? Participants will be divided into 2 groups: with and without mesh using. They must be followed up for 2 years after enrollment in the study.

Researchers will compare mesh and non-mesh groups to evaluate the benefits and harms of mesh using in hernia prevention.

Detailed Description

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This clinical trial is prospective randomized phase III study of the efficacy of polypropylene mesh for hernia prevention after stoma closure in patients with colorectal cancer. We will include in the study group 71 patients with colorectal cancer with ileo- and colostomy. In these patients we will do sublay/interoblique repair in prevention incisional hernias using polypropylene mesh. Our hypothesis is to reduce parastomal hernias rate from 30% to 10% over 2 years. Stratification will be used for patients with \>5 cm vs \<5 cm stoma-site hernia.

The control group will include 71 patients with similar parameters who will undergo stoma closure with layered ligature suturing of the abdominal wall without mesh implantation.

Additional endpoints are the wound infection rate, the complication rate (Clavien-Dindo), the rate of the repeated surgery for hernia at the site of stoma closure. We'll assess the quality of life by HerQLes (Hernia-Related Quality of Life Survey) scale.

Conditions

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Neoplasms Malignant Rectal Cancer Hernia Incisional Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

1:1 electronic randomisation
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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mesh

In these patients we will do sublay/interoblique repair for prevention of stoma-site hernias using a polypropylene mesh.

Group Type EXPERIMENTAL

mesh

Intervention Type PROCEDURE

We'll use mesh repair for prevention of stoma-site hernias in the study group.

non-mesh

In these patients we will close the stoma with standard layered ligature suturing of the abdominal wall without mesh implantation.

Group Type ACTIVE_COMPARATOR

non-mesh

Intervention Type PROCEDURE

We'll use the layered ligature suturing of the abdominal wall without mesh implantation in the control group.

Interventions

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mesh

We'll use mesh repair for prevention of stoma-site hernias in the study group.

Intervention Type PROCEDURE

non-mesh

We'll use the layered ligature suturing of the abdominal wall without mesh implantation in the control group.

Intervention Type PROCEDURE

Other Intervention Names

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polypropylene mesh

Eligibility Criteria

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Inclusion Criteria

* Signed informed consent
* Absence of distant metastases (M0)
* ECOG (Eastern Cooperative Oncology Group) status 0-2
* completed course of adjuvant treatment
* Absence of acute inflammatory parastomal complications
* Integrity of colorectal anastomosis

Exclusion Criteria

* Inability to obtain consent to participate
* Synchronous and metachronous malignant neoplasms
* Clinically significant diseases of the cardiovascular system, liver, kidney, central nervous system
* Parastomal inflammation and other conditions that increase the risk of postoperative complications
* Pregnancy
* HIV infection
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Blokhin's Russian Cancer Research Center

OTHER

Sponsor Role lead

Responsible Party

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Sergey Gordeyev

Principal investigator, Department of Colorectal surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zaman Z Mamedli, PhD

Role: STUDY_DIRECTOR

N.N.Blokhin Russian Cancer Research Center

Nikolay L Matveev, PhD

Role: STUDY_CHAIR

Pirogov Russian National Research Medical University

Locations

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N.N.Blokhin Russian Cancer Research Center

Moscow, , Russia

Site Status RECRUITING

Countries

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Russia

Central Contacts

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Sergey Gordeyev, D.Sc.

Role: CONTACT

9104501213 ext. 007

Facility Contacts

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Sergey S Gordeyev, PhD

Role: primary

9104501213 ext. 007

Other Identifiers

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ProMeLAR-01

Identifier Type: -

Identifier Source: org_study_id

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