Clinical Trial Details
— Status: Not yet recruiting
Administrative data
| NCT number |
NCT05792839 |
| Other study ID # |
Abdominoplasty & hernia |
| Secondary ID |
|
| Status |
Not yet recruiting |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
October 1, 2023 |
| Est. completion date |
December 1, 2024 |
Study information
| Verified date |
March 2023 |
| Source |
Assiut University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Comparison between hernioplasty alone versus concomitant abdominoplasty with ventral hernia
repair regarding efficacy and post-operative recurrence of hernia.
Description:
Ventral hernias are very common and do present a challenge because of the risk of recurrence.
Ventral hernias of the abdomen are defined as a non-inguinal, nonhiatal defect in the fascia
of the abdominal wall. Annually, there are about 350,000 ventral hernia operations. The
repair of these abdominal wall defects is a common surgery performed by general surgeons.
Surgery is typically recommended for individuals with acceptable operative risk, symptomatic
hernias, or those at elevated risk of developing complications from a hernia. They can affect
an individual's quality of life and can lead to hospitalizations and even death in some
cases.[1][2][3] Common causes of acquired ventral hernias include previous surgery causing an
incisional hernia, trauma, and repetitive stress on naturally weak points of the abdominal
wall. These naturally occurring weak points in the abdominal wall include the umbilicus,
semilunar line, ostomy sites, bilateral inguinal regions, and esophageal hiatus. Obesity is a
large component of hernias as well because it stretches the fascia of the abdomen causing it
to weaken. Specifically, the action of repetitive weight gain and loss leads to weakening.[4]
Reported recurrence rates after VHR in the literature vary widely and range from 2.7% to 20%
for primary ventral hernia (umbilical and epigastric) to 32-37% for incisional hernia
repairs, depending on the series in question. (5) Abdominoplasty can be performed in
combination with hernia repair in patients with ventral hernias, especially when associated
with large midline ventral hernias, diastasis of recti and the associated laxity and
abdominal shape deformity, represent aesthetic and functional problems for the patients. So,
the surgical treatment of both pathologies at the same time is highly recommended if the
patient's general condition permits. This can be achieved by a comprehensive technique
incorporating abdominoplasty performed by a transverse lower abdominal incision into any of
the hernia repair techniques.(6) The procedure continues to become increasingly popular, and
this is attributed to the increasing rates of obesity and subsequent use of weight loss
surgery
Aim(s) of the Research (50 words max):
Is to compare the outcome and efficacy of the combined procedure of (abdominoplasty and
hernioplasty) to hernioplasty alone according to rate of post operative recurrence of hernia
.
