Ventral hernias are common following abdominal surgery. Currently, there is no equipoise on when synthetic and biologic meshes should be used. Among open ventral hernia repairs, half are repaired using biologic mesh while half are repaired using synthetic mesh. The investigators hypothesize that biologic mesh as opposed to synthetic mesh repair of open ventral hernia repair is associated with decreased risk of major complications one year after surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
87
Synthetic mesh used during open ventral hernia repair
Biologic mesh used during open ventral hernia repair
UT Health at Lyndon B. Johnson General Hospital
Houston, Texas, United States
Complication free at 1 year post-operative
Complication defined as hernia recurrence, chronic wound complications including mesh infection, and reoperation
Time frame: 1 year after surgery
Complication free at 3 years post-operative
Complication defined as hernia recurrence, chronic wound complications including mesh infection, and reoperation
Time frame: 3 years after surgery
Dindo-clavien complications
Grade I to V
Time frame: Pre-operative, 1 month after surgery, 1 year and 3 years after surgery
Patient centered outcomes
includes patient satisfaction, cosmetic satisfaction, modified assessment scale
Time frame: Pre-operative, 1 month after surgery, 1 year and 3 years after surgery
Cost
charges for all patient visits, admissions, and procedures
Time frame: 1 year and 3 years after surgery
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