Incisional Hernia After Midline Versus Transverse Extraction Incision in Laparoscopic Colectomy

McGill University

Status: Completed

Conditions: Laparoscopic Colectomy

Treatments: Procedure: laparoscopic colectomy

Study type: Interventional

Funder types: Other

Identifiers

NCT01247389

10-183-SDR

Details and patient eligibility

About

Incisional hernia (IH) is a common complication of midline laparotomy. Despite the hope that laparoscopic colon resection would result in fewer incisional hernias, prospective studies demonstrate a similar incidence to open surgery. Observational studies suggest that the rate of incisional hernia after laparoscopic colon resection may be reduced with the use of a transverse compared to a midline extraction incision. However, no randomized trails are available, and a midline extraction incision for hemicolectomy remains the standard current approach. The investigators hypothesize that the use of a lower abdominal transverse muscle splitting incision for specimen extraction in laparoscopic colon surgery will result in fewer incisional hernias compared to a midline periumbilical extraction incision.

Enrollment: 165 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• scheduled laparoscopic partial colectomy where an abdominal extraction incision is planned

Exclusion criteria

• previous laparotomy
• rectal resection or anastamosis
• planned pfannenstiel extraction incision
• single site surgery
• planned or performed stoma
• BMI >35 kg/m2
• ASA 4-5

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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165 participants in 2 patient groups

midline incision

Active Comparator group

Treatment:

Procedure: laparoscopic colectomy

transverse incision

Active Comparator group

Treatment:

Procedure: laparoscopic colectomy