Ventral Mesh Hernioplasty : Laparoscopic Versus Open Sublay
NCT ID: NCT06149858
Last Updated: 2023-11-29
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
30 participants
INTERVENTIONAL
2023-12-01
2026-03-01
Brief Summary
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Detailed Description
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sublay mesh repair has the lowest recurrence and surgical site infection in open anterior abdominal hernia repair it is a perfect choice for the repair of ventral abdominal hernia the principles included two main steps: (1) mesh placement deep into the recti muscles and (2) mesh extension beyond the hernia defect.
Laparoscopic ventral hernia repair (LVHR) has established itself as a well-accepted option in the treatment of hernias. Clear benefits have been established regarding the superiority of LVHR in terms of fewer wound infections compared with open repairs. Meticulous technique and appropriate patient selection are critical to obtain the reported results.
• In the laparoscopic technique, a prosthetic mesh is inserted through a trocar into the abdominal cavity and fixed against the abdominal wall. After reducing the hernia contents, the hernia sac is left unresected, and most surgeons do not place additional sutures for closing the hernia orifice. A specific risk of laparoscopic hernia repair lies in freeing adhesions between intestine and abdominal wall, which may result in (sometimes unrecognised) bowel perforation . The mesh should overlap the hernia orifice by at least 5 cm and is anchored to the abdominal wall with tacks, transfascial sutures, or a combination of the two methods. In laparoscopic abdominal hernia repair, mesh placement methods are generally classified into intraperitoneal onlay mesh (IPOM), transabdominal abdominal preperitoneal (TAPP)
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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sublay
patients with ventral hernia operated as sublay mesh repair positioning of mesh under sheath
hernioplasty
ventral hernia repair with mesh
laparoscopic
patients with ventral hernia operated as laparoscopic repair positioning TAPP mesh
hernioplasty
ventral hernia repair with mesh
Interventions
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hernioplasty
ventral hernia repair with mesh
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
2. Complicated hernia (obstructed ,irreducible, strangulated)
3. incisional ,massive ,recurrent hernias
18 Years
75 Years
ALL
Yes
Sponsors
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Assiut University
OTHER
Responsible Party
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ahmed hussein abozeid ahmed
resident doctor
Principal Investigators
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hisham ryad
Role: STUDY_DIRECTOR
Central Contacts
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References
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Issa M, Noureldin K, Elgadi A, Abdelaziz A, Badawi M, Makram M. Evaluation of the Sublay Mesh Repair Outcomes in Different Types of Ventral Hernia. Cureus. 2021 Dec 21;13(12):e20590. doi: 10.7759/cureus.20590. eCollection 2021 Dec.
Other Identifiers
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ventral hernia repair
Identifier Type: -
Identifier Source: org_study_id