Midline Restoration After HYbriD Hernia RepAir Surgery (HYDRA)

NCT ID: NCT06286124

Last Updated: 2024-02-29

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

NOT_YET_RECRUITING

Total Enrollment

52 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-04-30

Study Completion Date

2028-04-30

Brief Summary

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The goal of this observational study is to learn about the functioning of the abdominal wall in patients who underwent hybrid (open- and laparoscopic) incisional hernia repair. The main objective is to assess the anatomical restoration and function of the linea alba one year after surgery by ultrasonography and mean peak torque during trunk flexion using a BioDex machine.

Detailed Description

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Rationale: Abdominal wall functioning has been reported to be higher in patients that underwent open incisional hernia repair compared to laparoscopic incisional hernia repair. With the use of a recently developed hybrid approach, we aim for a functional anatomical restoration of the linea alba while also achieving the technical advantages of the hybrid approach.

Objective: The main objective is to asses functional anatomical restoration of the linea alba through functioning in mean peak torque, and ultrasound examination.

Study design: Multicentre prospective cohort study. Study population: Adult patients with a midline incisional hernia ≥4 cm and ≤10 cm.

Intervention: Not applicable. Main study parameters/endpoints: The primary objective of this study is to assess anatomical restoration and function of the linea alba one year after surgery by ultrasonography and measuring the mean peak torque during trunk flexion using a BioDex(trademark) machine.

Nature and extent of the burden and risks associated with participation, benefit and group relatedness: No risk is associated with participation other than known complications for incisional hernia repair. HYDRA is part of standard care in the Alrijne Hospital, and the technique has previously been published. The mesh used in this study is being used on a world-wide scale. We do not expect additional risks with this study. As participants have to visit the Erasmus Medical Center (Erasmus MC) an additional three times and have to fill in additional questionnaires, there is a burden for enrolled patients.

Conditions

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Incisional Hernia of Midline of Abdomen

Keywords

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Incisional Hernia Repair Hybrid

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Incisional Hernia patients

Patients with an Incisional Hernia, who present in the participating center

Hybrid Surgery

Intervention Type PROCEDURE

Hybrid incisional hernia repair, as described by Van den Dop et al. (2021)

Interventions

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Hybrid Surgery

Hybrid incisional hernia repair, as described by Van den Dop et al. (2021)

Intervention Type PROCEDURE

Other Intervention Names

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three-step incisional hybrid repair (TIHR)

Eligibility Criteria

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Inclusion Criteria

* 18 years or older
* Scheduled for elective HYDRA-surgery
* Midline incisional hernia larger than 4 centimetres in mean width
* Sufficient knowledge of the Dutch language to be able to understand and fill in the questionnaires
* Signed informed consent form by patient

Exclusion Criteria

* Pregnant at inclusion
* Inclusion in other trials with interference of the primary and secondary endpoints
* American Society of Anesthesiologists Classification (ASA Classification) \> 3
* Hernia defect larger than 10 centimetres in mean width
* Incarcerated hernias or emergency procedure
* Unable to perform a trunk flexion
* Incapacitated patients
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medtronic

INDUSTRY

Sponsor Role collaborator

Alrijne Hospital

OTHER

Sponsor Role collaborator

Erasmus Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Prof. dr. Pieter J Tanis

Prof. dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Pieter Tanis, Prof. dr.

Role: PRINCIPAL_INVESTIGATOR

Erasmus Medical Center

Locations

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Alrijne Hospital

Leiden, , Netherlands

Site Status

Countries

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Netherlands

Central Contacts

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Lucas Visscher, BSC

Role: CONTACT

Phone: +310107043683

Email: [email protected]

Facility Contacts

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Willem Hueting, MSc

Role: primary

References

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van den Dop LM, de Smet GHJ, Bus MPA, Lange JF, Koch SMP, Hueting WE. A new three-step hybrid approach is a safe procedure for incisional hernia: early experiences with a single centre retrospective cohort. Hernia. 2021 Dec;25(6):1693-1701. doi: 10.1007/s10029-020-02300-9. Epub 2020 Sep 12.

Reference Type BACKGROUND
PMID: 32920734 (View on PubMed)

Other Identifiers

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8612

Identifier Type: -

Identifier Source: org_study_id