A radomised controlled trial comparing Ventralex patch and Progrip mesh in surgery for midline incisional hernias
Incisional hernias in the midline is among the most common conditions requiring surgery. There are several factors which can increase the risk of incisional hernias, e.g. surgical technique, truncal obesity and other co-morbidities. Repair with mesh-reinforcement is considered standard for the treatment of incisional hernias. Onlay and sublay mesh placements are the most commonly used methods. There are many different types of mesh available to use. Despite the widely use of composite ventral-patch Ventralex, there are few studies with small numbers of patients showing the advantage and disadvantage of ventral-patch. Some studies show that the onlay mesh-reinforcement remains a good alternative to the sublay mesh technique, while others showing fewer recurrences with the sublay mesh technique. The Ventralex mesh is usually placed on the peritoneum as a Intra peritoneum onlay mesh (IPOM). In this study intend to compare pre peritoneal Ventralex® mesh in sublay position with ProGrip self-fixating onlay mesh.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
200
Karlskoga Hospital
Karlskoga, Sweden
NOT_YET_RECRUITINGKarlskoga Hospital
Karlskoga, Sweden
RECRUITINGRecurrence rate
Rate of hernia recurrences diagnosed at clinical and/or radiologic examination
Time frame: One year
Rate ofntra- and postoperative complications
Rate of complications occurring during or after the repair
Time frame: 30 days
Rate of seroma
Postoperative seroma
Time frame: one year
Persisting postoperative pain
Pain interfering with daily activities as rated with Ventral Hernia Pain Questionnaire
Time frame: One year
Sick leave
Mean number of postoperative days sick leave
Time frame: 30 days
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