It has been demonstrated that incisional hernia incidence after laparotomy can be safely reduced with the addition of a mesh to the conventional closure of the abdominal wall. There still some debate about which is the best position to place this mesh: onlay or sublay. In Europe we have now meshes with CEE approval to be used as reinforcement of abdominal wall closure. The investigators have planned to include 200 patients in a multi center study using an onlay PDVF mesh that can be tracked by magnetic resonance. The patients included will be patients with risk factors for the development of an incisional hernia. The incidence of incisional hernia will be assessed clinically and radiologically after 1 and 2 years follow-up. The incidence of surgical sites occurrences and pain will be also assessed.
Study Type
OBSERVATIONAL
Enrollment
200
An onlay PDVF mesh will be placed as abdominal wall reinforcement
Puerto Real University Hospital
Puerto Real, Cádiz, Spain
Sureste Hospital
Arganda, Madrid, Spain
San Agustín University Hospital
Avilés, Principality of Asturias, Spain
University Central Hospital of Asturias
Oviedo, Principality of Asturias, Spain
Nuestra Señora del Prado University Hospital
Talavera de la Reina, Toledo, Spain
Puerta de Hierro University Hospital
Madrid, Spain
Incisional Hernia
Development of an incisional hernia diagnosed clinically or radiologically
Time frame: 24 months
Surgical site infection
Wound infection according to CDC guidelines
Time frame: 30 days
Surgical site seroma
Seroma ocurrence in the wound
Time frame: 30 days
Surgical site hematoma
Hematoma occurrence in the wound
Time frame: 30 days
Mesh exposition
Mesh that can be seen during postoperative recovery without skin covarage
Time frame: 30 days
Evisceration
Postoperative wound dehiscence
Time frame: 30 days
Systemic complications
Any systemic complication occurred in the postoperative period
Time frame: 30 days
Chronic mesh infection
Mesh chronically infected that need removal to solve
Time frame: up to 2 years postoperative
Abdominal wall pain
VAS score in the follow-up
Time frame: Up to 2 years
Length of mesh at MRI 6 weeks
Length of the mesh calculated at the MRI planned at 6 weeks
Time frame: 6 weeks
Width of mesh at MRI 6 weeks
Width of the mesh calculated at the MRI planned at 6 weeks
Time frame: 6 weeks
Length of mesh at MRI 1 year
Length of the mesh calculated at the MRI planned at 1 year
Time frame: 1 year
Width of mesh at MRI 1 year
Width of the mesh calculated at the MRI planned at 1 year
Time frame: 1 year
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