Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT05278117
Other study ID # burst abdomen
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date June 1, 2014
Est. completion date February 1, 2022

Study information

Verified date September 2022
Source Zagazig University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

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.


Description:

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.


Recruitment information / eligibility

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

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
outcomes of complete burst abdomen repair using posterior component separation technique with transversus abdominis muscle release reinforced by sublay mesh
outcomes of complete burst abdomen repair using posterior component separation technique with transversus abdominis muscle release reinforced by sublay mesh

Locations

Country Name City State
Egypt Tamer Alsaied Alnaimy Zagazig Sharkia

Sponsors (1)

Lead Sponsor Collaborator
Zagazig University

Country where clinical trial is conducted

Egypt, 

Outcome

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
See also
  Status Clinical Trial Phase
Completed NCT04644965 - Evaluation of the Motor Activity, Cardiopulmonary Performance Capacity and Quality of Life in Patients Born With a Congenital Abdominal Wall Defect
Recruiting NCT06086444 - Tranexamic Acid in Abdominoplasty. Phase 4
Completed NCT05579652 - Change in Fascial Tension in Open Abdomens
Terminated NCT03241719 - Novel Strategies to Improve Immunomodulation and Non-invasive Clinical Monitoring in VCA Early Phase 1
Recruiting NCT03765060 - The Efficacy and Security of the Small Stitch Technique in Emergency Surgery N/A
Recruiting NCT04580511 - Safety and Clinical Performance of a Biological Matrix Used in Abdominal Wall Reconstruction
Recruiting NCT03035617 - Study to Evaluate Reduction in Pain After Laparoscopic Hernia Repair With Mesh Soaked in Bupivacaine Solution N/A
Not yet recruiting NCT06367309 - ExtrAperitoneaL Plasty vs Intraperitoneal oNlay mEsh in Ventral Hernia Repair N/A
Completed NCT05061264 - Abdominal Wall Reconstruction With PVDF Mesh in the Setting of Active Infection N/A
Recruiting NCT03310905 - Abdominal Wall Transplant N/A
Completed NCT03960320 - Health Related Quality of Life of Patients With Abdominal Wall Defects
Recruiting NCT05308771 - To Investigate the Use of a New Syringe "Visual Pressure Control (VPC)" for Epidural Anesthesia in Children Surgery N/A
Recruiting NCT02416674 - Vascularized Composite Allotransplantation for Treatment of Abdominal Wall Defects Early Phase 1
Not yet recruiting NCT06364306 - oPen Versus RobotIc retrOmuscular Repair in Medium to Large Ventral Hernias N/A
Completed NCT04947202 - Clinical Study on the Safety of SAFIL® MESH
Enrolling by invitation NCT03296475 - Intraoperative Biomechanics in Complex Abdominal Wall Reconstruction N/A
Completed NCT03702153 - The Use of Synthetic Mesh in Contaminated and Infected Abdominal Wall Repairs. A Long-term Prospective Clinical Trial N/A
Completed NCT05205213 - Stepwise for the Treatment of Lateral Incisional Hernias