Prophylactic Mesh Placement Reduces the Incidence of Incisional Hernia in HBP Surgery.

Juan Bellido-Luque.MD110 enrolled

Overview

he goal of this observational study is to learn about prophylactic mesh placement in HBP incision. The main question it aims to answer is: will the incisional hernia rate be reduced with the use of mesh during the abdominal wall closuer?

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Enrollment

110

Conditions

Hernia Incisional Incision Site Complication

Interventions

mesh placementPROCEDURE

mesh is placed in retromuscular space when abdominal wall is closed

conventional abdominal wall closure without meshOTHER

conventional AWC without mesh

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Patients aged 18 years or older. * Elective conventional or extensive right subcostal laparotomy. * Two or more risk Factor for incisional hernia (IH): \> 60 years, Body Mass Index \> 27 kg/m2, Diabetes Mellitus, pulmonary/liver/renal disease, malignancy, preoperative chemotherapy, immunosuppression or smoking5. * Life expectancy of at least 12 months. * Signed informed consent with agreement to attend all study visits. Exclusion Criteria: * Emergency surgery. * Previous right subcostal hernia or right subcostal incision. * Metastatic disease or irresectable malignancy identified during the surgery with life expectancy less than 12 months. * Active abdominal infection at the time of surgery

Locations (1)

Juan Bellido

Seville, Spain

Outcomes

Primary Outcomes

image detected IH rate

incisional hernia rate after 12 and 24 posoperative months

Time frame: 12 and 24 months

Secondary Outcomes

incision types

types of incisions used

Time frame: day 1 (surgical procedure)

postoperative complications

complications after surgical procedure

Time frame: 3-6-12-24 postoperative months

Data from ClinicalTrials.gov

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