This study aims to evaluate if the risk of developing ventral hernia after liver transplantation can be reduced through the prophylactic implantation of a synthetic, fully resorbable mesh "Phasix" in the course of liver transplantation. Patients will be randomized in a 1:1 ratio to receive either Phasix mesh or standard surgery without the use of Phasix. Ultra-sound examinations of the wound area will be performed 14 days, 3, 6 and 12 months after liver transplantation. Furthermore, presence of infections, seroma, pain and other problems in the wound area will be assessed.
Ventral hernia is a frequently occurring complication following liver transplantation, with a reported risk in the literature ranging from 5% to 25%. This study aims to evaluate if the risk of developing ventral hernia after liver transplantation can be reduced through the prophylactic implantation of a synthetic mesh "Phasix" in the course of liver transplantation. PHASIX™ Mesh is a fully resorbable mesh implant prepared from poly-4-hydroxybutyrate (P4HB). Absorption of the mesh material occurs within 12 to 18 months. Patients will be randomized in a 1:1 ratio to receive either Phasix mesh in the course of liver transplantation or standard surgery without the use of Phasix. Ultra-sound examinations of the wound area will be performed 14 days, 3, 6 and 12 months after liver transplantation. Furthermore, presence of infections, seroma, pain and other problems in the wound area will be assessed.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
36
After the closure of the Abdomen, Phasix mesh will be placed and affixed on the exposed fascia.
Medical University of Graz; Klin. Abteilung für Transplantationschirurgie
Graz, Austria
Incidence of ventral hernia
Evaluated by ultra-sound imaging
Time frame: 12 months after liver transplantation
Infections
Number of infections in the wound area, assessed by clinical evaluation
Time frame: 12 months after liver transplantation
Wound healing disorders
Presence of wound healing disorders in the wound area, assessed by clinical evaluation
Time frame: 12 months after liver transplantation
Seroma
Presence of seroma in the wound area, assessed by clinical evaluation
Time frame: 12 months after liver transplantation
Hematoma
Number of hematoma in the wound area, assessed by clinical evaluation
Time frame: 12 months after liver transplantation
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