Randomized Trial on Scarpa Fascia Preservation During Hernio-abdominoplasty

Mansoura University50 enrolled

Overview

This randomized trial aimed to assess the efficacy of preservation of Scarpa's fascia during hernio-abdominoplasty in reducing the volume of postoperative drainage, accelerating time to drain removal and recovery, and reducing complication rate.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Ventral Hernia

Interventions

Scarpa's preserving hernio-abdominoplastyPROCEDURE

Scarpa's fascia is preserved during hernio-abdominoplasty

Classical hernio-abdominoplastyPROCEDURE

Scarpa's fascia is removed during hernio-abdominoplasty

Eligibility

Sex: ALLMin age: 18 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with complex ventral hernia that are fit for surgery (ASA class I and II) (Saklad, 1941). * Patients with class III, IV according to Pitanguy's classification of abdominal deformities (Pitanguy, 1995). Exclusion Criteria: 1. Patient with ASA class III, IV, and V. 2. Morbid obesity (BMI \> 40). 3. Recurrent incisional hernias after mesh hernioplasty. 4. Strangulated hernias. 5. Isolated small paraumbilical hernias. 6. Patients with abdominal organomegaly and/or ascites. 7. Patients with coagulopathy, 8. Patients who are heavy smokers, patients with pulmonary problems, and patients with uncontrolled diabetes.

Outcomes

Primary Outcomes

Volume of postoperative drainage

The volume of fluid drained through suction drains per 24 hours

Time frame: Two weeks after surgery

Data from ClinicalTrials.gov

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