Long-term Follow-up of Prophylactic Mesh Reinforcement After Emergency Laparotomy.

Observational Study analyzing the long-term results of prophylactic mesh used for preventing incisional hernia after emergency midline laparotomies.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Prevention of Incisional Hernia in Emergency Surgery

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

About this study

Background. Prevention of incisional hernias with a prophylactic mesh in emergency surgery is controversial. The present study aimed to analyze the long-term results of prophylactic mesh used for preventing incisional hernia after emergency midline laparotomies.

Methods. This study was a retrospective analysis of patients who underwent an emergency midline laparotomy between January 2009 and July 2010 with a follow-up period of longer than 2 years. Long-term outcomes and risk factors for the development of incisional hernias between patients who received a prophylactic reinforcement mesh (Group M) and suture (Group S) were compared.

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Patients undergoing emergency midline laparotomy

Exclusion criteria

Those with need of concomitant hernia repair.
Those who received incisions outside the midline.
Those with delayed abdominal closure.
Those who died in the immediate postoperative period.
Those without a minimum 2 years of follow-up.

Treatment and study plan

Prophylactic mesh use

Procedure

After laparotomy sutured clousur the abdominal wall wound is reinforced using a suprafascial synthetic mesh.

Other names: Incisional hernia prevention

Primary outcomes

Incisional hernia

Time frame: 2 years

Detection of clinical or subclinical incisional hernia during postoperative longterm followup

Sponsors and collaborators

Lead sponsor

José A. Pereira

Other

Registry information

Important dates

Study start: 2010
Primary completion: 2019
Study completion: 2020
First posted: Oct 8, 2020
Registry last updated: Oct 8, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.