Evaluation of Posterior Component Separation Technique in the Management of Complex Ventral Hernia.

Assiut University

Status: Not yet enrolling

Conditions: Ventral Hernia

Treatments: Procedure: Posterior component separation technique.

Study type: Interventional

Funder types: Other

Identifiers

NCT06352489

Posterior component separation

Details and patient eligibility

About

• Assess short term outcome of posterior component separation technique(PCS) including the regain of the physiological function of the abdominal wall.
• Detect most common post operative complications related to AWR techniques in a 6 months duration after operation.

Full description

posterior component separation(PCS) is one of the surgical techniques used in abdominal wall reconstruction plan foe management of relatively complex ventral hernia ,which cannot be treated with the conventional surgical way.

With or without transverses abdominis release(TAR) technique, (PCS) became widely accepted as surgical technique specially for large sized hernia defect, previous multiple laparotomies or unhealth abdominal soft tissue.

This study has a primary outcome which is detection of recurrence rate in patients under went posterior component separation technique in a period of 6 month after operation.

Enrollment: 30 estimated patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients with complex ventral hernia with contraindication to the conventional surgical therapy.

Exclusion criteria

1. patients with contraindication to long standing anesthesia.
2. patients with emergency hernia situation.
3. pregnant patients.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

PCS with TAR

Active Comparator group

Description:

The posterior component separation technique utilizes the retro-rectus space, accessed by incising the posterior rectus sheath and dissecting the posterior sheath between the internal oblique and transversus abdominis muscle.

Treatment:

Procedure: Posterior component separation technique.

PCS without TAR

Active Comparator group

Description:

by performing posterior component separation technique through inscion in the posterior rectus sheath and mesh placement in this plane without performing more advancement towards tranversus abdominis muscle.

Treatment:

Procedure: Posterior component separation technique.