Fast-track Giant Ventral Hernia Repair

Bispebjerg Hospital

Status: Completed

Conditions: Hernia, Ventral

Treatments: Other: Fast-track group

Study type: Observational

Funder types: Other

Identifiers

NCT02305082

Fast-track-hernia-bbh

Details and patient eligibility

About

The implementation of an enhanced recovery pathway after giant ventral hernia repair, including preoperative high-dose steroid is examined prospectively and compared with a group of historic controls.

Full description

All patients operated on for a large incisional hernia are treated according to the study protocol. Patients are given high-dose glucocorticoid preoperative and the aim is to discharge patients at postoperative day 3.

Morbidity, length of stay, pain, nausea and pulmonary function are among registered outcomes compared with a historic control group.

Enrollment: 32 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Horizontal fascia defect > 10 cm on computed tomography scan
• Planned elective open incisional hernia repair

Exclusion criteria

• Known allergy against glucocorticoid treatment
• Insulin-treated diabetes
• Gastric ulcer diagnosed within four weeks preoperative
• Steroid-treated immune disease
• Planned intestinal anastomosis concomitant to hernia repair

Trial design

32 participants in 2 patient groups

Fast-track group

Description:

Patients treated according to the enhanced recovery pathway. This group is examined prospectively.

Treatment:

Other: Fast-track group

Control group

Description:

Patients treated according to the historic recovery pathway. This group is examined retrospectively.