Incisional Hernia Repair by Abdominal Wall Component Release With Contemporary Onlay Mesh Fixation

NCT ID: NCT06178965

Last Updated: 2023-12-21

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 17 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-12-01
• Study Completion Date: 2024-06-01

Brief Summary

There is a great expansion in the presentation of complex incisional hernia defects. Primary closure for most cases is impossible with a high rate of recurrence. Component separation provides an autologous repair of the defect but still has considerable recurrence rate. Reinforcement of component separation provides a more strength full repair and may be less recurrence.

Detailed Description

the surgical correction was done under general anesthesia. After scrubbing and draping, an elliptical incision was performed .

Open the hernia sac then reduce the contents with adhesolysis as required. subcutaneous flaps on both sides were created in a manner that permit to spread an 8 cm mesh after the closure of the abdominal wall. approximate the facia after trimming of its edges with clamps with a manner that allow 1to 2 cm overlap in the midline without tension.

In case of tension do selective myofascial advancement (sequential components release). Our steps would be first a unilateral posterior rectus sheath release (1-2 cm longuitodinal incision lateral to linea alba) and reassess, if tension still present, bilateral posterior sheath release should be performed.If tension still present, do a unilateral then bilateral external oblique release as required (1-2 cm lateral to the linea semilunaris along the length of the abdominal wall).

close the defect with prolene 1 then cover with onlay wide pore mesh fixation with 2/0 prolene. Close the skin after placement of 2 subcutaneous suction drains.

Conditions

Incisional Hernia; Onlay Mesh; Abdominal Wall Component Release

Study Design

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

Study Groups

Abdominal Wall Component Release with Contemporary Onlay Mesh Fixation

Abdominal Wall Component Release with Contemporary Onlay Mesh Fixation in patients with incisional hernia

Group Type: OTHER

Incisional Hernia Repair by Abdominal Wall Component Release with Contemporary Onlay Mesh Fixation

Intervention Type: PROCEDURE

patients with incisional hernia will be operated by hernia reduction and sac closure followed by placement of onlay mesh after creating suitable flaps.

Interventions

Incisional Hernia Repair by Abdominal Wall Component Release with Contemporary Onlay Mesh Fixation

patients with incisional hernia will be operated by hernia reduction and sac closure followed by placement of onlay mesh after creating suitable flaps.

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Age of 16 years and older.
• Both sexes.
• Patients with clean incisional hernia of stage I, II and III according to the ventral hernia staging system were included.

Exclusion Criteria

• - Obese patients with BMI ≥35 kg/m2, Patients with contaminated hernia stage II and III, patients with collagen disease, patients with history of aortobifemoral bypass, Patients refusing mesh hernioplasty, Females in childbearing age who looks for further children, Patients unfit for surgery according to ASA criteria, Patients with a parastomal hernia, patient with a stoma and patients with uncontrolled diabetics, active smokers, and patients with COPD were excluded

• Minimum Eligible Age: 16 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Zagazig University

OTHER_GOV

Sponsor Role: lead

Responsible Party

Yasser Ali Orban

assisstant professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Zagazig University

Zagazig, , Egypt

Countries

Egypt

Other Identifiers

incisional hernia repair

Identifier Type: -

Identifier Source: org_study_id