Prophylactic Mesh Reinforcement After Open Aortic Aneurysm Repair

NCT ID: NCT06762561

Last Updated: 2025-06-03

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

Total Enrollment

20 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-06-01

Study Completion Date

2026-10-31

Brief Summary

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The goal of this retrospective observational study is to evaluate whether prophylactic mesh reinforcement during abdominal wall closure can prevent incisional hernias (IH) in patients undergoing open abdominal aortic aneurysm (AAA) repair. The main questions it aims to answer are:

* Does mesh reinforcement reduce the incidence of incisional hernias?
* What is the frequency of associated postoperative complications? Researchers will compare the outcomes of patients who underwent mesh-reinforced closures to literature-reported outcomes for non-mesh cases to assess differences in IH incidence and complications.

Participants will:

* Undergo clinical follow-ups and abdominal ultrasounds to detect IH.
* Complete quality-of-life questionnaires (EQ-5D and PROMIS).

Detailed Description

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Conditions

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Incisional Hernia Aortic Aneurysm

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Prophylactic mesh reinforcement after open aortic aneurysm repair

Patients who underwent open abdominal aortic aneurysm (AAA) repair with prophylactic retromuscular mesh reinforcement at the Fribourg Cantonal Hospital between 2019 and 2024.

Prophylactic retromuscular mesh reinforcement

Intervention Type PROCEDURE

Prophylactic retromuscular mesh placement involves reinforcing the abdominal wall during closure after open abdominal aortic aneurysm (AAA) repair to prevent incisional hernias. This technique creates a retro-muscular space by carefully dissecting the rectus abdominis muscles from the posterior rectus sheath. A self-gripping polyester mesh or composite mesh is placed in this space, extending 4 cm beyond the midline on each side, ensuring tension-free coverage. The mesh is secured at key points, and the rectus sheaths are closed with continuous sutures. This approach leverages the anatomical integrity of the abdominal wall to reduce hernia risk without increasing postoperative complications.

Interventions

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Prophylactic retromuscular mesh reinforcement

Prophylactic retromuscular mesh placement involves reinforcing the abdominal wall during closure after open abdominal aortic aneurysm (AAA) repair to prevent incisional hernias. This technique creates a retro-muscular space by carefully dissecting the rectus abdominis muscles from the posterior rectus sheath. A self-gripping polyester mesh or composite mesh is placed in this space, extending 4 cm beyond the midline on each side, ensuring tension-free coverage. The mesh is secured at key points, and the rectus sheaths are closed with continuous sutures. This approach leverages the anatomical integrity of the abdominal wall to reduce hernia risk without increasing postoperative complications.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Adult patients (≥18 years old) who underwent open abdominal aortic aneurysm (AAA) repair with prophylactic retromuscular mesh reinforcement between January 2019 and January 2024
* Availability of complete medical records, including preoperative history, surgical details, and postoperative follow-up data
* Attendance at a clinical follow-up examination at least one year after the procedure
* General informed consent signed for the use of medical data for research purposes

Exclusion Criteria

* Patients with incomplete or missing medical records, including preoperative, intraoperative, or follow-up data
* Patients who required a re-laparotomy involving incision or suture of the prophylactic mesh and subsequently developed an incisional hernia.
* Patients who did not attend the required clinical follow-up examination at least one year postoperatively.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Hôpital Fribourgeois

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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HFR Hopitaux Fribourgeois

Villars-sur-Glâne, , Switzerland

Site Status RECRUITING

Countries

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Switzerland

Central Contacts

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Raffaella Sguinzi, PhD

Role: CONTACT

0041263062584

Melissa Lagger

Role: CONTACT

0041263062608

Facility Contacts

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Melissa Lagger, med. dipl

Role: primary

+41263062608

Sguinzi Raffaella, PhD

Role: backup

References

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Other Identifiers

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2348

Identifier Type: -

Identifier Source: org_study_id

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