Randomized Trial on Scarpa Fascia Preservation During Hernio-abdominoplasty

Mansoura University

Status: Completed

Conditions: Ventral Hernia

Treatments: Procedure: Scarpa's preserving hernio-abdominoplasty; Procedure: Classical hernio-abdominoplasty

Study type: Interventional

Funder types: Other

Identifiers

NCT03721575

mansoura61

Details and patient eligibility

About

This randomized trial aimed to assess the efficacy of preservation of Scarpa's fascia during hernio-abdominoplasty in reducing the volume of postoperative drainage, accelerating time to drain removal and recovery, and reducing complication rate.

Enrollment: 50 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with complex ventral hernia that are fit for surgery (ASA class I and II) (Saklad, 1941).
• Patients with class III, IV according to Pitanguy's classification of abdominal deformities (Pitanguy, 1995).

Exclusion criteria

1. Patient with ASA class III, IV, and V.
2. Morbid obesity (BMI > 40).
3. Recurrent incisional hernias after mesh hernioplasty.
4. Strangulated hernias.
5. Isolated small paraumbilical hernias.
6. Patients with abdominal organomegaly and/or ascites.
7. Patients with coagulopathy,
8. Patients who are heavy smokers, patients with pulmonary problems, and patients with uncontrolled diabetes.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

---

50 participants in 2 patient groups

Scarpa's preserving hernio-abdominoplasty

Active Comparator group

Description:

Hernio-abdominoplasty is performed with preservation of Scarpa's fascia.

Treatment:

Procedure: Scarpa's preserving hernio-abdominoplasty

Classical hernio-abdominoplasty

Active Comparator group

Description:

Hernio-abdominoplasty is performed with removalof Scarpa's fascia.

Treatment:

Procedure: Classical hernio-abdominoplasty