HERNIA, VENTRAL Clinical Trial
Official title:
Prospective Randomized Evaluation of Open vs. Laparoscopic Operation of Ventral Incisional Eventrations. A Swedish Multicenter Study
This purpose of this study is to compare the recovery after an operation of an incisional hernia within the limits of the rectus muscles of the abdominal wall. The use of a mesh in the repair of a postoperative hernia is considered obligatory. Placement of a retromuscular mesh is done by open or laparoscopic surgery. Focus is on the recovery phase assuming a less painful recovery after a laparoscopic procedure.
Incisional ventral hernia after abdominal surgery is a fairly common condition. In recent
years the use of a prosthesis in the repair procedure has proved very effective in
preventing a new hernia. A retromuscular mesh placement seems to have superior results. The
mesh may be placed retromuscular through an open surgical procedure or through a
laparoscopic procedure in an intra-abdominal position. Both procedures are highly
standardized. A heavy weight mesh is used in the open procedure, fixed in the midline only,
and a composite mesh is used intraabdominally and fixed only with titanium tackers.
SF-36 is used to assess the quality of life, and its subscale BP (bodily pain) is used as
primary outcome 3 weeks postoperatively. Secondary endpoints are return to daily life, pain,
complications, recurrence, patient satisfaction and cosmetic outcome.
Subjects are assessed at 1,3,8 weeks post operation and after 12 months.
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Observational Model: Case Control, Time Perspective: Prospective
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