Long-term Follow-up of Prophylactic Mesh Reinforcement After Emergency Laparotomy.

Prevention of Incisional Hernia in Emergency Surgery Clinical Trial

Official title:

Long-term Follow-up of Prophylactic Mesh Reinforcement After Emergency Laparotomy.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04578561
• Other study ID #: 20198240I
• Status: Completed
• Start date: January 2010
• Est. completion date: January 2020

Study information

• Verified date: October 2020
• Source: Hospital del Mar
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Observational Study analyzing the long-term results of prophylactic mesh used for preventing incisional hernia after emergency midline laparotomies.

Description:

Background. Prevention of incisional hernias with a prophylactic mesh in emergency surgery is controversial. The present study aimed to analyze the long-term results of prophylactic mesh used for preventing incisional hernia after emergency midline laparotomies.

Methods. This study was a retrospective analysis of patients who underwent an emergency midline laparotomy between January 2009 and July 2010 with a follow-up period of longer than 2 years. Long-term outcomes and risk factors for the development of incisional hernias between patients who received a prophylactic reinforcement mesh (Group M) and suture (Group S) were compared.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 187
• Est. completion date: January 2020
• Est. primary completion date: January 2019
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Patients undergoing emergency midline laparotomy

Exclusion Criteria:

• Those with need of concomitant hernia repair.

• Those who received incisions outside the midline.

• Those with delayed abdominal closure.

• Those who died in the immediate postoperative period.

• Those without a minimum 2 years of follow-up.

Related Conditions & MeSH terms

• Emergencies
• Incisional Hernia
• Prevention of Incisional Hernia in Emergency Surgery

Intervention

Procedure:
• Prophylactic mesh use
After laparotomy sutured clousur the abdominal wall wound is reinforced using a suprafascial synthetic mesh.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
José A. Pereira

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Incisional hernia	Detection of clinical or subclinical incisional hernia during postoperative longterm followup	2 years