Hernia Clinical Trial - Study of a New Laparoscopic Technique for

Status Withdrawn

Clinical Trial Summary

The purpose of the study is to evaluate a new laparoscopic technique for parastomal hernia repair using an intraperitoneally placed Proceed mesh, looking at postoperative complications, recurrence rate and postoperative pain and quality of life.

Clinical Trial Description

Parastomal hernia affects up to 50% of all patients following formation of a stoma, most often in patients with a colostomy. About 20% of the patients need surgical correction of their parastomal hernia. Symptoms associated with parastomal hernias goes from mild physical (pain) and cosmetic discomfort to life threatening conditions with obstruction, strangulation and perforation. Parastomal hernias have big socioeconomic consequences and remain a considerable clinical problem.

The surgical treatment of parastomal hernias is controversial. The best way to treat it is to restore the continuity of the intestine, but in permanent stomas, this is not an option. Many surgical techniques have been described when intervention is required, but the results are unacceptable. The traditional open techniques are local simple suturing of the fascia defect, stoma relocation, or repair with a prosthetic material either intraperitoneally or extraperitoneally (subfascial or onlay). Overall, the results of all methods are poor with high recurrence rates and high morbidity and mortality. Mesh repair has the lowest recurrence rate (0-39%) and stoma relocation and simple suture has reported recurrence rates on 0-76% and 46-100%, respectively. Laparoscopic repair of parastomal hernias with a prosthetic mesh inserted intraperitoneally is a new method described in a few small series. The results so far are encouraging, but the follow-up period is short.

Looking at the disappointing results from the traditional open techniques in the treatment of parastomal hernias together with the enormous success in laparoscopic ventral hernia repair and laparoscopy overall, we believe that laparoscopic parastomal hernia repair with mesh will be an effective treatment option in the future. Therefore, we find it interesting to investigate the technique in a prospective study ;

Study Design

Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT00138957
Study type	Interventional
Source	University Hospital, Gentofte, Copenhagen
Contact
Status	Withdrawn
Phase	N/A
Start date	September 2005
Completion date	December 2007

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT01629485` - Part vs Whole Task Mastery Training for Laparoscopic Hernia Repair	N/A
Terminated	`NCT01305486` - A Study of Complex Ventral Hernia Repair Utilizing the XenMatrix™ Surgical Graft With Component Separation	N/A
Completed	`NCT01205399` - A Retrospective Study With Prospective Follow-Up of Complex Ventral Hernia Repair Utilizing the AlloMax Surgical Graft	N/A
Completed	`NCT00905320` - Hernia Repair With or Without Sutures	N/A
Completed	`NCT01141335` - Polypropylene Mesh Versus Polytetrafluoroethylene (PTFE) Mesh in Inguinal Hernia Repair	Phase 4
Completed	`NCT00617357` - Repair of Infected or Contaminated Hernias	N/A
Completed	`NCT00535990` - Minimally Invasive Surgery (MIS) Database for the Purpose of Research
Completed	`NCT06034652` - T-GENVIH-003 LTFU (Long Term Follow Up) Study
Completed	`NCT04119466` - Stabilizing Training in Degenerative Disc Disease	N/A
Completed	`NCT00622583` - International Hernia Mesh Registry
Completed	`NCT04137172` - Short Term Outcomes of Laparoscopic Intraperitoneal Onlay Mesh With Facial Repair(IPOM-plus) for Ventral Hernia.	N/A
Completed	`NCT01132209` - Suture Techniques to Reduce the Incidence of The inCisional Hernia	N/A
Completed	`NCT00032448` - Does Tension-Free Herniorrhaphy or Laparoscopic Herniorrhaphy Achieve Equal or Better Recurrence Rates and Lower Costs While Achieving Equivalent Outcomes for Hernia Patients?	Phase 3
Not yet recruiting	`NCT05061589` - Incidence and Risk Factors of Parastomal Hernia in Patients With Permanent Colostomy in China
Active, not recruiting	`NCT02439060` - PUBMIC (Prophylactic Use of Biologic Mesh in Ileal Conduit)	N/A
Completed	`NCT01727388` - Informativeness to Digital Rectal Examination	Phase 3
Completed	`NCT02238964` - Reinforcement of Closure of Stoma Site	Phase 2/Phase 3
Completed	`NCT01997619` - Biological Mesh Repair of Complex Hernias in High Risk Patients	N/A
Recruiting	`NCT00544583` - Continuous Versus Interrupted Abdominal Wall Closure After Emergency Midline Laparotomy	Phase 2/Phase 3
Completed	`NCT03566433` - Postoperative Pain After Endoscopic TEP vs. Lichtenstein Hernioplasty in Inguinal Hernia Repair	N/A

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.

Study of a New Laparoscopic Technique for Parastomal Hernia Repair With Mesh

Clinical Trial Summary

Clinical Trial Description

Study Design

Related Conditions & MeSH terms