Ignite Creation Date:
2024-05-06 @ 8:05 PM
Last Modification Date:
2024-10-26 @ 3:20 PM
Study NCT ID:
NCT06255314
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-02-13
First Post:
2024-01-20
Brief Title:
Minimally Invasive Techniques in Ventral Hernioplasty
Sponsor:
Assiut University
Organization:
Assiut University
Study Overview
Official Title:
Evaluation of Minimally Invasive Ventral Hernioplasty With Extraperitoneal Mesh Placement
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
1 Review the surgical outcome of different techniques using extraperitoneal ventral hernia repair regarding postoperative pain wound infection hospital stay recurrence mesh migration and mesh induced visceral complications
2 Reviewing advantages and drawbacks of each surgical technique regarding feasibility cost effectiveness and technical difficulties
2 Reviewing advantages and drawbacks of each surgical technique regarding feasibility cost effectiveness and technical difficulties
Detailed Description:
The laparoscopic ventral hernia repair was first introduced by LeBlanc and Booth in the early 1990s Since its introduction it has continued to evolve and has become an important option in the hernia surgeons armamentarium However only 274 of ventral hernia repairs are performed laparoscopically likely because of the relatively advanced nature of this procedure and because all hernias may not be suitable for a laparoscopic approach Using current techniques numerous studies have documented the safety and efficacy of this approach Some data suggest that the laparoscopic approach results in a shorter hospital stay and lower recurrence rates compared with open approaches However pain may still be significant after laparoscopic repairs and there are not significant advantages from this standpoint Nonetheless it is well accepted that the primary advantage of the laparoscopic approach is that wound infections are less frequent compared with open approaches LeBlanc and Booth in 1993 first reported application of intra-peritoneal onlay mesh IPOM for ventral and incisional hernia However the technique requires expensive fixation devices which may cause acute and chronic pain The laparoscopic groin hernia repair using synthetic mesh in TEP or TAPP are acceptable surgical techniques today These techniques are rarely associated with mesh induced complications the reason being extraperitoneal placement of synthetic mesh It is apparent that despite great progress in mesh technology nearly all types of meshes have been found to produce a varying level of adhesion or tissue reaction regardless of the material and coating used Preoperatively unpredictable a mesh-induced visceral complication may occur in some patients to produce severe reaction or major mesh-related adverse eventsThe incitation to develop certain novel minimally invasive techniques that enables researchers to bring the mesh out of abdominal cavity has been an exciting trend in laparoscopic hernia repair
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None