Minimally Invasive Techniques in Ventral Hernioplasty

NCT06255314 | Not Yet Recruiting

• 1 other identifier: laparoscopic ventral hernia
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

1. 1.Review the surgical outcome of different techniques using extraperitoneal ventral hernia repair regarding postoperative pain. wound infection ,hospital stay , recurrence ,mesh migration and mesh induced visceral complications.
2. 2.Reviewing advantages and drawbacks of each surgical technique regarding feasibility ,cost effectiveness and technical difficulties

Conditions

Ventral Hernia

Outcome Measures

Primary Outcomes (2)

• Operative time

  from inflation of abdomen till deflation in laparoscopic repair and from skin incision up to skin closure in open repair.

• Intra operative injuries including bowel or vascular injuries

  intra operative

Secondary Outcomes (5)

• • Surgical site infection

  postoperative up to 1month

• • Surgical site occurrence of hematoma ,seroma, necrosis

  : 30 days

• • Hernia recurrence

  : 1year

• Cost effectiveness

  : 6months

• •Rate of mesh related complication such as bowel erosion

  1 year

Study Arms (3)

trans abdominal retromusclar laparoscopic ventral hernia repar

EXPERIMENTAL

Procedure: ventral hernia repair

enhanced view totally extraperitoneal laparoscopic ventral hernia repair

EXPERIMENTAL

Procedure: ventral hernia repair

open sublay ventral hernia repair

EXPERIMENTAL

Procedure: ventral hernia repair

Interventions

ventral hernia repair PROCEDURE

Laparoscopic transabdominal retromuscular repair is a minimally invasive approach to the open Rives Stoppa retromuscular sublay repair for ventral hernia. In ventral hernia repair, it relies on initiation of dissection in one retrorectus space and then crossover to the contralateral retrorectus space The sublay mesh technique is an open surgical procedure for ventral and incisional hernias

enhanced view totally extraperitoneal laparoscopic ventral hernia repair; open sublay ventral hernia repair; trans abdominal retromusclar laparoscopic ventral hernia repar

Eligibility Criteria

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

You may qualify if:

• Age of the patient : above 18 years
• Any type of ventral hernia including umbilical,paraumbilical,epigastric,spigelian and incisional hernias

You may not qualify if:

• Patients with inguinal hernia.
• Strangulated or obstructed hernia.
• Previous mesh hernia repair.
• Loss of abdominal domain.
• Infected or contaminated field.
• Defect size more than 10cm.

Sponsors & Collaborators

• Assiut University: lead

Study Sites (1)

Faculty of medicine, Assiut University

Asyut, 71515, Egypt

Location

Related Publications (6)

• LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc. 1993 Feb;3(1):39-41.

  PMID: 8258069 BACKGROUND

• Colavita PD, Tsirline VB, Belyansky I, Walters AL, Lincourt AE, Sing RF, Heniford BT. Prospective, long-term comparison of quality of life in laparoscopic versus open ventral hernia repair. Ann Surg. 2012 Nov;256(5):714-22; discussion 722-3. doi: 10.1097/SLA.0b013e3182734130.

  PMID: 23095614 BACKGROUND

• Jin J, Rosen MJ. Laparoscopic versus open ventral hernia repair. Surg Clin North Am. 2008 Oct;88(5):1083-100, viii. doi: 10.1016/j.suc.2008.05.015.

  PMID: 18790156 BACKGROUND

• Golani S, Middleton P. Long-term follow-up of laparoscopic total extraperitoneal (TEP) repair in inguinal hernia without mesh fixation. Hernia. 2017 Feb;21(1):37-43. doi: 10.1007/s10029-016-1558-7. Epub 2016 Dec 26.

  PMID: 28025740 BACKGROUND

• Muschalla F, Schwarz J, Bittner R. Effectivity of laparoscopic inguinal hernia repair (TAPP) in daily clinical practice: early and long-term result. Surg Endosc. 2016 Nov;30(11):4985-4994. doi: 10.1007/s00464-016-4843-8. Epub 2016 Mar 16.

  PMID: 26983436 BACKGROUND

• Tung KLM, Cheung HYS, Tang CN. Non-healing enterocutaneous fistula caused by mesh migration. ANZ J Surg. 2018 Jan;88(1-2):E73-E74. doi: 10.1111/ans.13253. Epub 2015 Aug 5. No abstract available.

  PMID: 26246228 BACKGROUND

MeSH Terms

Conditions

Hernia, Ventral

Condition Hierarchy (Ancestors)

Hernia, Abdominal; Hernia; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms

Central Study Contacts

mohamed badr

CONTACT

01060624371; akhel93@yahoo.com

samir ammar, MD

CONTACT

01141459567; samirahmed22@aun.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: teaching assistant

Study Record Dates

• First Submitted: January 20, 2024
• First Posted: February 13, 2024
• Study Start: February 1, 2024
• Primary Completion (Estimated): October 1, 2026
• Study Completion (Estimated): October 1, 2026
• Last Updated: February 13, 2024

Record last verified: 2024-01

Locations

EG (1)