Prevention of Postoperative Ventral Hernias

Ryazan State Medical University

Status: Completed

Conditions: Gangrenous Postoperative Ventral Hernia (Diagnosis); Dehiscence of Laparotomy Wound

Treatments: Procedure: Suturing of a laparotomic wound with modified methods

Study type: Observational

Funder types: Other

Identifiers

NCT04562363

POVG12122021

Details and patient eligibility

About

The research is aimed at identifying factors of herniation after median laparotomy and developing surgical methods for preventing postoperative ventral hernias and eventrations.

Full description

At the first stage, an analysis of the prevalence of postoperative ventral hernias in patients after median laparotomies in urgent surgery will be performed, with the identification of factors contributing to the development of postoperative ventral hernias. At the next stage, the investigators will search for the most reliable methods of suturing the white line of the abdomen, taking into account the risk of hernia formation, with their implementation in patients operated in an emergency through median laparotomic access in comparison with traditionally used methods. In conclusion, an algorithm will be developed for selecting the method of surgical prevention of postoperative ventral hernias, taking into account the risk of their development.

Enrollment: 700 patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Patients of both sexes aged 18 years and older who are expected to perform median laparotomy on a planned or emergency basis.
2. Patients who have signed an informed consent to participate in the study, after the purpose and meaning of the study have been explained to them.
3. Patients who follow the doctor's instructions.

Exclusion criteria

1. The death of the patient.
2. Stage IV cancer
3. Hernia repair with hernioplasty, including simultaneous surgery
4. Refusal of the patient to cooperate with the researcher.

Trial design

700 participants in 4 patient groups

Low risk of herniation.

Description:

Use of any method of suturing, including modified.

Treatment:

Procedure: Suturing of a laparotomic wound with modified methods

The average risk of hernia formation

Description:

The application of modified methods of closure of laparotomy wound.

Treatment:

Procedure: Suturing of a laparotomic wound with modified methods

high risk of herniation

Description:

The use of alloplastic methods of closure of laparotomy wound.

Treatment:

Procedure: Suturing of a laparotomic wound with modified methods

The presence of eventrations

Description:

The use of alloplastic methods of suturing a laparotomic wound in the absence of suppuration.

Treatment:

Procedure: Suturing of a laparotomic wound with modified methods