Abdominal Wall Function and Quality of Life and Before and After Incisional Hernia Repair
QualiFunc
1 other identifier
observational
25
1 country
1
Brief Summary
The primary objective of the present study is to investigate a possible correlation between abdominal wall function and subjective measures of QoL before and after laparoscopic repair of small- to medium sized incisional hernia. This prospective study includes 25 patients undergoing laparoscopic incisional hernia repair. Abdominal wall function is examined by determination of maximal truncal flexion and extension with a fixated pelvis using a Goodstrength dynamometer (Metitur Ltd., Jyväskylä, Finland). Subjective scores of QoL (HerQLes), pain (visual analogue scale) and physical activity (International Physical Activity Questionnaire) are assessed. Patients are examined before, one month after and three months after the operation. Furthermore, pulmonary function is examined preoperative and three months postoperative by standard spirometry (forved vital capacity, peak expiratory flow, forced expiratory volume in 1 second) as well as maximum in- and expiratory pressure is measured.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Jan 2015
1 active site
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Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 16, 2014
CompletedFirst Posted
Study publicly available on registry
December 19, 2014
CompletedStudy Start
First participant enrolled
January 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2016
CompletedSeptember 3, 2015
September 1, 2015
1 year
December 16, 2014
September 2, 2015
Conditions
Outcome Measures
Primary Outcomes (2)
Abdominal wall strength
Abdominal wall strength measured by Goodstrength Dynamometer before, one and three months after laparoscopic incisional hernia repair.
Change at three months from baseline examination
Hernia-related quality of life
Hernia-related quality of life (HerQLes) before, one and three months after laparoscopic incisional hernia repair.
Change at three months from baseline examination
Secondary Outcomes (7)
Physical activity level
Change at three months from baseline examination
Pain
Change at three months from baseline examination
Discomfort
Change at three months from baseline examination
Forced vital capacity
Change at three months from baseline examination
Forced expiratorry volume for one second (FEV1)
Change at three months from baseline examination
- +2 more secondary outcomes
Study Arms (1)
Patients with incisional hernia
Patients with one or more incisional hernias, combined horizontal fascial defect 3-8 cm, planned for laparoscopic mesh repair. Patients are examined before and one and three months postoperative in regard to abdominal wall function, pain, discomfort, hernia-related quality of life and physical activity level.
Interventions
Eligibility Criteria
This prospective study includes 25 patients undergoing elective laparoscopic incisional hernia repair. Patients are included from Bispebjerg Hospital and Hvidovre Hospital, two university hospital surgical departments with unrestricted referral of patients.
You may qualify if:
- Elective laparoscopic repair for one or more incisional hernias in the midline (at least 5 cm caudal to the xiphoid process and at least 5 cm cranial to the pubic bone), using a synthetic mesh
- Horizontal fascial defect between 3 and 8 cm
- Age between 25 and 75 years
- American Association of Anesthesiologist score between I and III
- Body mass index \< 33 kg/m\^2
You may not qualify if:
- Severe musculoskeletal, neurologic or cardiopulmonary disease preventing the patient from climbing stairs or shopping for groceries
- Existing stoma
- Postoperative complications requiring intervention
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Bispebjerg Hospitallead
- Hvidovre University Hospitalcollaborator
Study Sites (1)
Bispebjerg Hospital
Copenhagen Northwest, Copenhagen, 2400, Denmark
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Thue Bisgaard, MD, Dr. Msc.
Gastrounit, Surgical Section, Hvidovre Hospital
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD, PHD student
Study Record Dates
First Submitted
December 16, 2014
First Posted
December 19, 2014
Study Start
January 1, 2015
Primary Completion
January 1, 2016
Study Completion
April 1, 2016
Last Updated
September 3, 2015
Record last verified: 2015-09