Abdominal Wall Defect Clinical Trial
Official title:
A Prospective Multicentre Study Evaluating the Outcomes of the Abdominal Wall Dehiscence Repair Using Posterior Component Separation With Transversus Abdominis Muscle Release Reinforced by a Retro-muscular Mesh - Filling a Step
Verified date | September 2022 |
Source | Zagazig University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Purpose: This study determined the incidence of burst abdomen recurrent (BAR), incisional hernia(IH), and surgical site occurrence (SSO) following burst abdomen surgical treatment after abdominal midline incisions using a posterior component separation(CS) technique with transversus abdominis muscle release (TAR) reinforced by retro-muscular mesh technique. Methods: Between June 2014 and April 2018, 202 patients with grade IA BA (Björck's first classification) were treated in a prospective multiple-center cohort study.
Status | Completed |
Enrollment | 202 |
Est. completion date | February 1, 2022 |
Est. primary completion date | April 1, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - BA Grade IA according to Björck's initial classification following midline laparotomy from various departments, - = 18 years - both sex - emergency or elective surgery Exclusion Criteria: - BA grade 1B,2,3, and 4 according to Björck's initial classification, - < 18 years, - primary laparotomy performed through a non-midline incision, open abdomen, - if another laparotomy had been performed between the surgery for BA and the end of the follow-up period, - concomitant intra-abdominal surgery, abdominal complications during BA surgery, - adherent bowel to the defect edge that cannot be separated, - patients lost during follow up, - presence of intra-abdominal contamination that cannot be controlled radiologically, - history of previous BA repair, - stoma exteriorized from the midline primary wound, - temporarily wound closure techniques, - prior abdominal surgeries other than operation resulted in BA, - prior abdominal wall hernia repair with or without mesh, - history of collagen diseases |
Country | Name | City | State |
---|---|---|---|
Egypt | Tamer Alsaied Alnaimy | Zagazig | Sharkia |
Lead Sponsor | Collaborator |
---|---|
Zagazig University |
Egypt,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | recurrent burst abdomen | incidence of recurrent burst abdomen by % | 3.5 years | |
Primary | incisional hernia | incidence of incisional hernia measured by clinical examination and computerized tomography by % | 3.5 years | |
Secondary | incidence of surgical site infection | by % | 30 days |
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