Transversus Abdominis Muscle Release Versus Mesh Only Repair in the Treatment of Complex Ventral Wall Hernia

Mansoura University

Status: Unknown

Conditions: Hernia Incisional; Hernia, Abdominal; Hernia, Ventral

Treatments: Procedure: Posterior Component Separation with Transversus Abdominis Muscle Release; Procedure: Mesh-only repair

Study type: Interventional

Funder types: Other

Identifiers

NCT04516031

Transversus Abdominis Release

Details and patient eligibility

About

This trial was designed as a prospective randomized, controlled, intervention, with two parallel groups, and a primary endpoint of recurrence during 12 months' follow-up after initial treatment, with the randomization, was performed by an online software a 1:1 allocation.

Full description

Eligibility Criteria

• both sexes
• aged between 18 and 65 years old
• presented complex ventral wall hernia or incisional hernia

Exclusion

• pregnant
• patients on steroid therapy
• underwent their hernia repair on an emergency basis

Interventions

• Eligible patients were randomized in equal proportions between "Mesh Only Repair" and "Posterior Component Separation with Transversus Abdominis Muscle Release"

Enrollment: 59 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients with complex ventral-wall and incisional hernia

Exclusion criteria

• pregnant female
• steroid therapy
• emergency basis

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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59 participants in 2 patient groups

Mesh-only repair

Active Comparator group

Treatment:

Procedure: Mesh-only repair

Transversus Abdominis Muscl

Active Comparator group

Treatment:

Procedure: Posterior Component Separation with Transversus Abdominis Muscle Release