The hypothesis of this study is to show that after laparoscopic digestive surgery in obese patients (BMI\>30kg/m2), the wearing of an abdominal support belt is an effective treatment for the Incisional Hernia and feasible in terms of compliance, quality of life and patient satisfaction
The study will be conducted at the Institut Mutualiste Montsouris, it is planned to include 350 patients in 12 months, the duration of participation of each patient is 24 months. An orthopaedist will see patients in consultation to take their measurements, patients complete a quality of life questionnaire (the SF 36), when they are admitted for surgery. After surgery, patients begin wearing their belts according to the instructions given by the surgeon during hospitalization: * Start wearing the belt as soon as possible. * wear it according to its recommendations: all day, every day of the week and for two months. Patients should record the number of hours they would have worn their belts in the EVINOV logbook each day. The studu Co will contact patients by phone every two weeks for the 2 months they will be wearing the belt. At the one-month post-operative consultation, the patient will complete a quality of life questionnaire again (the SF 36). Two months after surgery, patients receive a final SF 36 questionnaire by mail, with a satisfaction scale to evaluate their overall feeling around the period of wearing the abdominal belt. Patients are asked to return these two documents, as well as the EVINOV logbook. The latest health data collection is the imaging data from the abdominal CT scan at 24 months, which will show the presence or absence of an incisional hernia.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
350
It is a customised medical device, using a technique for calculating the compression ratio adapted to each patient according to his morphology
Institut Mutualiste Montsouris
Paris, France
RECRUITINGPresence or not of an eventration
The presence of the eventration is detected by an abdominal CT scan.
Time frame: During the 24 months following sugery
Patient satisfaction: 5 level Likert scale2
The satisfaction of patient is evaluated by the 5 level Likert scale2
Time frame: 2 months after surgery
Quality of life of patients: SF-36 quetionnaire
The quality of life of patients is evaluated using SF-36 quetionnaire.
Time frame: before surgery, 1 month after surgery and 2 months after surgery.
Compliance with preventive treatment by the abdominal support belt.
Patient compliance collected through a logbook completed daily.
Time frame: 2 months after surgery
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