Minimally Invasive Techniques in Ventral Hernioplasty

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorAssiut University

About this trial

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. Reviewing advantages and drawbacks of each surgical technique regarding feasibility ,cost effectiveness and technical difficulties

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

• Able to give informed consent for inclusion in the study

Age of the patient : above 18 years

Any type of ventral hernia including umbilical,paraumbilical,epigastric,spigelian and incisional hernias

Disqualifiers

• Patients with inguinal hernia.

Strangulated or obstructed hernia.

Previous mesh hernia repair.

Loss of abdominal domain.

Trial design

Design model

Parallel

Treatments tested in this trial

  • ventral hernia repair

    Procedure/Surgery

    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

Treatment groups

45 Participants
are divided into 3 treatment groups
Group A: trans abdominal retromusclar laparoscopic ventral hernia reparExperimental treatment 1 intervention
Group B: enhanced view totally extraperitoneal laparoscopic ventral hernia repairExperimental treatment 1 intervention
Group C: open sublay ventral hernia repairExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Operative time

Time frame
from inflation of abdomen till deflation in laparoscopic repair and from skin incision up to skin closure in open repair.
2

Intra operative injuries including bowel or vascular injuries

Time frame
intra operative

Secondary outcomes

1

• Surgical site infection

Time frame
postoperative up to 1month
2

• Surgical site occurrence of hematoma ,seroma, necrosis

Time frame
: 30 days
3

• Hernia recurrence

Time frame
: 1year
4

Cost effectiveness

cost of polyprolene mesh compared to composite mesh by egyptian pound

Time frame
: 6months

Other outcomes

Sponsors and contacts

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