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Endoscopic Mini/Less Open Sublay(EMILOS) Repair

D

Diakonie-Klinikum Stuttgart

Status

Completed

Conditions

Hernia, Ventral

Treatments

Device: Endoscopic Mini/Less Open Sublay Repair

Study type

Observational

Funder types

Other

Identifiers

Details and patient eligibility

About

Ventral hernias in the midline of the abdominal wall are one of the most frequent diseases in general and visceral surgery worldwide. The optimal operative technique is still in discussion. The traditional techniques are open sublay or transabdominal intraperitoneal onlay mesh (IPOM) repair. In order to avoid the risks -large trauma to the abdominal wall with pain and infection, lesion of intraabdominal organs - a new hybrid technique - small skin incision, wide endoscopic dissection of the retrorectus space with implantation of a large mesh - was developed (EMILOS -Endoscopic Mini/Less Open Sublay).

Full description

Long-term results in 174 patients with a ventral hernia of the abdominal wall after EMILOS (Endoscopic Mini/Less Open Sublay) repair.

The worldwide most frequently used surgical techniques to repair ventral abdominal wall hernias are the open sublay operation and the transabdominal IPOM (Intra-Peritoneal Onlay Mesh) technique.

Therefore a special questionnaire was developed to send to the patients to evaluate long-term outcome.

Enrollment

174 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria

  • Patients with clinical diagnosis of primary or secondary hernia in the midline of the abdominal wall
  • Defect size must be between 2 and 10 cm in width associated with a weak abdominal wall(rectus diastasis)
  • Patient must be suitable for general anesthesia
  • Patient must have given informed consent
  • Patient must be able to understand the principles of operation
  • Patient must agree to be incluuded in a follow-up program and to be documented in Herniamed registry

Exclusion Criteria:

  • Patients below 18 years of age
  • Patients with a defect size below 2 cm
  • Patients presenting with loss of domain
  • Patients not be able to tolerate general anesthesia
  • Patients presenting with excess skin tissue

Trial design

174 participants in 1 patient group

Ventral hernia repair
Description:
Endoscopic Mini/Less Open Repair
Treatment:
Device: Endoscopic Mini/Less Open Sublay Repair

Trial contacts and locations

3

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Data sourced from clinicaltrials.gov

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