Double Mesh Modification of Incisional Hernia Can be Effective Without Severe Local Complications

NCT04166201 | Completed

• 1 other identifier: modified chevrel technique
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

22 patients of incisional hernia underwent treatment by double mesh modification of the original Chevrel's technique the primary outcome was recurrence, skin necrosis secondery out come was pain hematoma seroma

Conditions

Incisional Hernia of Midline of Upper Abdomen; Incisional Hernia of Midline of Lower Abdomen; Incisional Hernia of Midline of Abdomen

Outcome Measures

Primary Outcomes (2)

• recurrence of the hernia

  the incisional hernia recurs back measured by clinical examination or abdominal CT

  2 years

• necrosis of the edges of the wound

  gangrene of the medial edges of the midline incision after dissection of the skin and subcutaneous tissue off the rectus sheath measured by clinical examination

  1 week

Secondary Outcomes (3)

• seroma

  1 week

• hematoma

  1 week

• abdominal wall pain

  1 year

Study Arms (1)

modified chevrel technique

OTHER

hernioplasty done with double mesh modification of chevrels technique

Procedure: double mesh hernioplasty with modified chevrel's technique

Interventions

double mesh hernioplasty with modified chevrel's technique PROCEDURE

hernioplasty done by modification of the chevrel's technique , no dissection further than 1 cm of the midline laterally, the medial flaps of the anterior rectus sheath is dissected of the anterior surface of the rectus abdominis muscle and sutured together reforming the posterior rectus sheath , one polypropylene mesh was fixed over the posterior rectus sheath and the other was tailored to raw area of the rectis abdominis muscle and sutured to the lateral free edges of the anterior rectus sheath

modified chevrel technique

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• adult with midline incisional hernia

You may not qualify if:

• (ASA) 3, and 4,
• inflammatory bowel disease,
• urgent setting,
• recurrences and previous abdominal neoplasms with high risk of local recurrence (rectal cancer).

Sponsors & Collaborators

• Zagazig University: lead

Study Sites (1)

Zagazig Faculty of Medicine

Zagazig, Sharqya, 44519, Egypt

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor

Model Details: 22 patients with Incisional Hernia of Midline of the abdomen underwent hernioplasty by double mesh modification of Chevrel's technique follow up carried out for around 2 years for hernia recurrence pain early and late postoperative complications

Study Record Dates

• First Submitted: November 14, 2019
• First Posted: November 18, 2019
• Study Start: January 1, 2017
• Primary Completion: December 30, 2018
• Study Completion: December 30, 2018
• Last Updated: November 22, 2019

Record last verified: 2019-11

Locations

EG (1)