Incisional Hernia After Midline LaparotomyQuality of Life (QOL)Burst AbdomenSurgical Site Infections
Investigational drug(s) / intervention(s)
Prophylactic polypropylene onlay mesh
Prophylactic polypropylene onlay mesh: The patients in the mesh group are closed with small bites technique and in addition receiving an onlay polypropylene mesh when closing the fascia in midline laparotomies.
Study summary
A multicenter randomized controlled trial comparing midline laparotomy closures using the small-bite suture technique alone to those using the small-bite suture technique with an additional onlay prophylactic polypropylene mesh. The primary endpoint is the incidence of incisional hernias in both groups after one year.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Surgery predominantly done my midline laparotomy
* Age 18 years old or older
* Written consent by patient/family
* Midline laparotomy with delayed closure
* No exclusion criteria
Exclusion Criteria:
* Age under 18 years
* Pregnancy
* Previous abdominal midline hernia mesh repair
* Abdominal compartment syndrome
* Linea alba closure not possible
* Life expectancy under six months
* Hernia in the midline with transverse diameter lager than 2 cm
Primary outcome measure(s)
Incisional hernia — 12 months Incisional hernia occurrence will be evaluated clinically and by CT examination after 12 months
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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