Primary closure of incisional hernia without the use of a mesh shows recurrence rates of up to 54%. If a mesh is used, the defect can be closed tension-free. Using this method, recurrence rates have been reduced to 8-21%. Laparoscopic correction of incisional hernia is a relatively new technique in which the mesh is positioned intraperitoneally. Research has shown that this procedure is technical feasible and may have benefits for the patients. The ongoing debate about the merits of endoscopic versus open incisional hernia repair prompts the need for a level 1 randomized controlled trial.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
206
Tension-free open or laparoscopic incisional hernia repair
Postoperative pain
Time frame: 4 weeks
Postoperative analgesics use
Time frame: 1 week
complications
Time frame: 4 weeks
operation time
Time frame: 1 day
length of hospital stay
Time frame: 4 weeks
recurrence
Time frame: 5 years
mortality
Time frame: 5 years
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