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
40 participants
OBSERVATIONAL
2024-01-31
2025-04-30
Brief Summary
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Detailed Description
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* Short term complications (superficial skin infection, seroma formation , recurrence and chronic abdominal discomfort.)
* operative time , hospital stay , difficulty of technique.
Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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Sublay hernioplasty in incisional hernia
Group that will undergo Sublay hernioplasty in management of incisional hernia
Hernioplasty
Surgical hernioplasty
Onlay Hernioplasty in incisional hernia
Group that will undergo Onlay hernioplasty in management of incisional hernia
Hernioplasty
Surgical hernioplasty
Interventions
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Hernioplasty
Surgical hernioplasty
Eligibility Criteria
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Inclusion Criteria
* Patients presented with incisional Hernias
* Age between 18 to 60 years
* Cicatrized incisional hernia involving both muscle cutting and muscle splitting incisions
Exclusion Criteria
* Irreducible, obstructed, strangulated hernias
* Other Ventral hernias that not related to surgical incision.
* Huge hernias with wide abdominal wall defect and retracted abdominal wall muscles.
18 Years
60 Years
ALL
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Mark Awny Albeir Saad
Resident doctor
Central Contacts
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References
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Schlosser KA, Arnold MR, Otero J, Prasad T, Lincourt A, Colavita PD, Kercher KW, Heniford BT, Augenstein VA. Deciding on Optimal Approach for Ventral Hernia Repair: Laparoscopic or Open. J Am Coll Surg. 2019 Jan;228(1):54-65. doi: 10.1016/j.jamcollsurg.2018.09.004. Epub 2018 Oct 22.
Mathes T, Walgenbach M, Siegel R. Suture Versus Mesh Repair in Primary and Incisional Ventral Hernias: A Systematic Review and Meta-Analysis. World J Surg. 2016 Apr;40(4):826-35. doi: 10.1007/s00268-015-3311-2.
Deeken CR, Lake SP. Mechanical properties of the abdominal wall and biomaterials utilized for hernia repair. J Mech Behav Biomed Mater. 2017 Oct;74:411-427. doi: 10.1016/j.jmbbm.2017.05.008. Epub 2017 May 6.
Smietanski M, Bury K, Tomaszewska A, Lubowiecka I, Szymczak C. Biomechanics of the front abdominal wall as a potential factor leading to recurrence with laparoscopic ventral hernia repair. Surg Endosc. 2012 May;26(5):1461-7. doi: 10.1007/s00464-011-2056-8. Epub 2011 Dec 15.
Hawn MT, Gray SH, Snyder CW, Graham LA, Finan KR, Vick CC. Predictors of mesh explantation after incisional hernia repair. Am J Surg. 2011 Jul;202(1):28-33. doi: 10.1016/j.amjsurg.2010.10.011.
Rosen MJ, Bauer JJ, Harmaty M, Carbonell AM, Cobb WS, Matthews B, Goldblatt MI, Selzer DJ, Poulose BK, Hansson BM, Rosman C, Chao JJ, Jacobsen GR. Multicenter, Prospective, Longitudinal Study of the Recurrence, Surgical Site Infection, and Quality of Life After Contaminated Ventral Hernia Repair Using Biosynthetic Absorbable Mesh: The COBRA Study. Ann Surg. 2017 Jan;265(1):205-211. doi: 10.1097/SLA.0000000000001601.
Cobb WS, Warren JA, Ewing JA, Burnikel A, Merchant M, Carbonell AM. Open retromuscular mesh repair of complex incisional hernia: predictors of wound events and recurrence. J Am Coll Surg. 2015 Apr;220(4):606-13. doi: 10.1016/j.jamcollsurg.2014.12.055. Epub 2015 Jan 28.
Other Identifiers
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Mesh in incisional hernia
Identifier Type: -
Identifier Source: org_study_id
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