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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05596357
Other study ID # 2021-A01003-38
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date July 10, 2023
Est. completion date March 1, 2030

Study information

Verified date September 2023
Source Assistance Publique - Hôpitaux de Paris
Contact David MOSZKOWICZ, Pr
Phone 0033147606384
Email david.moszkowicz@aphp.fr
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

After an operation on the abdomen, some patients present with an incisional hernia(incisional hernia) which causes a permanent exteriorization of the vicera. This situation is at the origin of postural problems. Surgery which consists both of reducing pain and correcting the functional limitation and aesthetic damage helps restore normal anatomy and improve muscle tension of the wall, restore the musculoskeletal balance of the trunk and thus the cardio-respiratory and motor functions of patients. The resulting benefits on quality of life and reduction of chronic pain have been demonstrated by several studies. This study tends to better understand the functional and sexual prejudices linked to these parietal pathologies by passing questionnaires to the operated patients


Description:

Almost 20% of patients operated on the abdomen will present with an incisional hernia and each year in France, more than 50,000 patients are operated on for an eventration with placement of a parietal mesh. These incisional hernia, corresponding to the permanent exteriorization of the abdominal viscera contained in a peritoneal sac through a scar muscle defect in the abdominal wall, are responsible for major anatomical and physiological alterations affecting the respiratory, cardiovascular and musculoskeletal systems. Sometimes the hernia sac is so large that the viscera have lost their place in the abdomen . The presence of a large protrusion of the anterior abdomen alters the patient's center of gravity, affecting his ambulation and posture Thus, surgical repair of the abdomen, indicated to correct chronic pain, functional limitation and cosmetic damage related to incisional hernia, helps restore normal anatomy and improve muscle tension of the wall, restore the musculoskeletal balance of the trunk and thus the cardio-respiratory and motor functions of the patients. The consequent benefits on the quality of life and the reduction of chronic pain have been demonstrated by several studies, including a randomized trial [Rogmark, but certain aspects of the functional limitations linked to the presence of an eventration have never been studied (not published), as well as their specific impact on quality of life. In fact, the daily experience of the management of these pathologies suggests that most patients with an abdominal wall problem, on the one hand, evoke difficulties to exonerate (abdominal pushing efforts are rendered ineffective due to the leakage of abdominal pressure in the incisional hernia sac, sometimes forcing patients to contain their stomachs by manual maneuvers or to wear an abdominal belt) and on the other hand difficulty having sexual intercourse (gene linked to the protrusion of abdomen, impaired body image and self-esteem). Thus, a better knowledge of the actual digestive and sexual functional damage linked to these parietal pathologies, will make it possible to optimize the care of patients who will be better informed about their disease and the benefits they can expect from parietal repair (ease of having a bowel movement, improvement of sex life, benefits on quality of life).


Recruitment information / eligibility

Status Recruiting
Enrollment 100
Est. completion date March 1, 2030
Est. primary completion date July 10, 2023
Accepts healthy volunteers
Gender All
Age group 18 Years to 79 Years
Eligibility Inclusion Criteria: - Patients aged 18 to 79 - No opposition to research - Planned surgery to cure a hernia or complex anterior eventration of the abdomen by laparotomy or laparoscopy - Mastery of the French language sufficient to answer questionnaires - Registration in a national health care system Exclusion Criteria: - Emergency surgery - ASA (American Society of Anesthesiologists) score> 3 during the preoperative consultation - Current pregnancy or breastfeeding - Patient under guardianship or curatorship - Patient under AME (State Medical Aid)

Study Design


Related Conditions & MeSH terms


Intervention

Other:
questionnaires
The patient must answer questionnaires before and after reconstructive surgery

Locations

Country Name City State
France David Moszkowicz Colombes Ile De France

Sponsors (1)

Lead Sponsor Collaborator
Assistance Publique - Hôpitaux de Paris

Country where clinical trial is conducted

France, 

Outcome

Type Measure Description Time frame Safety issue
Other Analysis of sexual function -->Femal Sexual Function Index (FSFI) and Male Sexual Health Questionnaire (MHSQ). Analyze changes in sexual function before (1 month) and after surgical operation (M3 M12, M24) 25 months
Other Changes in quality of life analysis --> Medical Outcome Study Short Form 12 (SF12), Analyze changes in quality of life before (1 month) and after surgical operation (M3 M12, M24) 25 months
Other Clinical recurrence Assessment of clinical recurrence M1, M3, M6, M12, M24, M36 after surgical operation 36 months
Other Radiological recurrence Assessment of radiological recurrence at M24 after surgical operation 24 months
Other Death Assessment of the mortality up to M36 after surgical operation 36 months
Other Pain analysis--> Visual Analog Scale (VAS) Analyze postoperative pain: M1, M3, M6, M12, M24 and M36 36 months
Other Morbidity --> Sepsis on mesh, hematoma, seroma, reoperation for complication, removal of the parietal mesh. Assessment of morbidity after surgical operation 1 month
Primary Symtoms of constipation --> Patient Assessment of Constipation Symptoms (PAC-SYM) Analyze changes in symptoms related to constipation before (1 month) and after surgical operation (M3, M12 and M24) 25 months
Secondary Quality of life related to constipation -->Patient Assessment of Constipation Quality of Life questionnaire (PAC-QOL) Assessment of qualitiy of life related to constipation before (1 month) and after surgical operation (M3, M12 and M 24) 25 months
Secondary Quality of life related to digestive function--> Gastrointestinal Quality of Life index (GIQLI) Assessment of qualitiy of life related to digestive function before (1 month) and after surgical operation (M3, M12 and M 24) 25 months
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