Impact Evaluation of Incisional Hernia on Muscular and Postural Function (IHMPF-1)

Republican Specialized Scientific and Practical Medical Center of Surgery Named After V. Vakhidov

Status: Completed

Conditions: Incisional Hernia

Treatments: Diagnostic Test: Postural balance; Diagnostic Test: Assessment of the hernia defect size; Diagnostic Test: Physical activity of patients; Diagnostic Test: Dynamometric tension assessment

Study type: Interventional

Funder types: Other

Identifiers

NCT05990647

"EC" №1-2022

Details and patient eligibility

About

Purpose of study is to assess perioperative functional parameters of the anterior abdominal wall muscles and postural control status in patients with large and giant incisional hernias in a controlled diagnostic study.

The study involved 95 patients (100% completed) with a large or giant incisional hernia of the anterior abdominal wall. The participants were divided into three groups by type of hernia repair: bridged hernia repair, Rives-Stoppa procedure, or TAR technique. Perioperative functional parameters of the anterior abdominal wall muscles were assessed by tension dynamometry. The postural balance assessments were made by raster photostereography.

Enrollment: 95 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• big and giant incisional hernia
• hernia without recurrence
• age 18-75

Exclusion criteria

• acute infection diseases
• cancer
• orthopedic diseases
• terminal status
• BMI>39,9

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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95 participants in 3 patient groups

Group I

Active Comparator group

Description:

32 patients who underwent classic abdominal wall anterior components separation and bridged hernia repair.

Treatment:

Diagnostic Test: Physical activity of patients

Diagnostic Test: Dynamometric tension assessment

Diagnostic Test: Postural balance

Diagnostic Test: Assessment of the hernia defect size

Group II

Active Comparator group

Description:

34 patients who underwent posterior components separation with the internal oblique myofascial release by Rives-Stoppa

Treatment:

Diagnostic Test: Physical activity of patients

Diagnostic Test: Dynamometric tension assessment

Diagnostic Test: Postural balance

Diagnostic Test: Assessment of the hernia defect size

Group III

Active Comparator group

Description:

29 patients who underwent posterior components separation with transversus abdominis release (TAR).

Treatment:

Diagnostic Test: Physical activity of patients

Diagnostic Test: Dynamometric tension assessment

Diagnostic Test: Postural balance

Diagnostic Test: Assessment of the hernia defect size