Ventral Mesh Hernioplasty : Laparoscopic Versus Open Sublay

Ventral Hernia Clinical Trial

Official title:

Ventral Mesh Hernioplasty : Laparoscopic Versus Open Sublay

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06149858
• Other study ID #: ventral hernia repair
• Status: Not yet recruiting
• Phase: N/A
• Start date: December 1, 2023
• Est. completion date: March 1, 2026

Study information

• Verified date: November 2023
• Source: Assiut University
• Contact: ahmed hussein
• Phone: 01091081032
• Email: ahmed.nazeir.1996[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

To compare between laparoscopic ventral hernia repair and open sublay technique (recurrence ,operative time ,bleeding ,rate of complication and injury , seroma, post operative pain)

Description:

A hernia usually happens in abdomen or groin, when one of your organs pushes through the muscle or tissue that contains it. Most hernias eventually will need surgical repair.

sublay mesh repair has the lowest recurrence and surgical site infection in open anterior abdominal hernia repair it is a perfect choice for the repair of ventral abdominal hernia the principles included two main steps: (1) mesh placement deep into the recti muscles and (2) mesh extension beyond the hernia defect.

Laparoscopic ventral hernia repair (LVHR) has established itself as a well-accepted option in the treatment of hernias. Clear benefits have been established regarding the superiority of LVHR in terms of fewer wound infections compared with open repairs. Meticulous technique and appropriate patient selection are critical to obtain the reported results.

• In the laparoscopic technique, a prosthetic mesh is inserted through a trocar into the abdominal cavity and fixed against the abdominal wall. After reducing the hernia contents, the hernia sac is left unresected, and most surgeons do not place additional sutures for closing the hernia orifice. A specific risk of laparoscopic hernia repair lies in freeing adhesions between intestine and abdominal wall, which may result in (sometimes unrecognised) bowel perforation . The mesh should overlap the hernia orifice by at least 5 cm and is anchored to the abdominal wall with tacks, transfascial sutures, or a combination of the two methods. In laparoscopic abdominal hernia repair, mesh placement methods are generally classified into intraperitoneal onlay mesh (IPOM), transabdominal abdominal preperitoneal (TAPP)

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 30
• Est. completion date: March 1, 2026
• Est. primary completion date: December 30, 2025
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 75 Years

Eligibility

Inclusion Criteria:

• All cases of midline ventral hernia fit for surgery

Exclusion Criteria:

1. Surgically unfit cases

2. Complicated hernia (obstructed ,irreducible, strangulated)

3. incisional ,massive ,recurrent hernias

Related Conditions & MeSH terms

• Hernia, Ventral
• Ventral Hernia

Intervention

Procedure:
• hernioplasty
ventral hernia repair with mesh

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

References & Publications (1)

Issa M, Noureldin K, Elgadi A, Abdelaziz A, Badawi M, Makram M. Evaluation of the Sublay Mesh Repair Outcomes in Different Types of Ventral Hernia. Cureus. 2021 Dec 21;13(12):e20590. doi: 10.7759/cureus.20590. eCollection 2021 Dec. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	recurrence rate	compare between laparoscopic ventral hernia repair and open sublay technique in how long the hernia take to occur again	baseline