Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| 2011-A01572-39 | Other Identifier | ANSM |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The purpose of this study is to compare rates of hernia formation between colostomies created with no hernia preventing mesh versus colostomies created with a particular mesh.
Previous studies indicate that implanting mesh for peristomal hernia repair may efficiently prevent hernia relapse. However, mesh provides a good infection site, which is not a desirable characteristic for a material adjacent to a colostomy "port". Our goal is to implement a high-quality, randomized trial to demonstrate whether or not systematic mesh implantation upon primary hernia creation is an effective means of avoiding this common and troublesome complication.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mesh | Experimental | The patients allocated to this arm of the study will have mesh (Covidien France: mono filament polyester bidimensional knit) implanted in association with their colostomy. |
|
| No mesh | Active Comparator | The patients allocated to this arm of the protocol will not receive mesh implantation with their colostomy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Colostomy with mesh implantation | Procedure | Colostomy with mesh implantation |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Presence/absence of a peristomal hernia | The occurrence of peristomal hernias is determined in both groups every three months up until 24 months. The presence of absence of a hernia is detected by clinical exam, and at 24 months by an additional radiology exam. The primary outcome concerns rates at 24 months, primo-events only. | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Presence/absence of peristomal hernia | The presence of absence of a hernia is detected by clinical exam. | 12 months |
| Days of hospitalisation | The number of days spent in the hospital after the surgical intervention. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Michel Prudhomme, MD, PhD | Centre Hospitalier Universitaire de Nīmes | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHRU de Besancon | Besançon | 25030 | France | |||
| CHU de Bordeaux |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33201089 | Result | Prudhomme M, Rullier E, Lakkis Z, Cotte E, Panis Y, Meunier B, Rouanet P, Tuech JJ, Jafari M, Portier G, Dubois A, Sielezneff I, Parc Y, Faucheron JL, Meurette G, Lelong B, Piessen G, Karoui M, Fabbro-Peray P, Demattei C, Bertrand MM; GRECCAR research group. End Colostomy With or Without Mesh to Prevent a Parastomal Hernia (GRECCAR 7): A Prospective, Randomized, Double Blinded, Multicentre Trial. Ann Surg. 2021 Dec 1;274(6):928-934. doi: 10.1097/SLA.0000000000004371. | |
| 27130912 |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Simple colostomy |
| Procedure |
Colostomy with no mesh implantation. |
|
| 1 month |
| Operating time (minutes) | Day 1 |
| Estimation of blood loss during the operation (ml) | Day 1 |
| Was stomal repair necessary for the patient? yes/no | 24 months |
| Was relocation of the colostomy required? yes/no | 24 months |
| Presence/absence of complications | Complications include: retraction, stenosis, prolapse, disunion, necrosis, abcess, infections, occlusion, strangulation, perforation, eczema, dermatitis, erythema, ulceration | 24 months |
| Patient difficulty for fitting his/her colostomy with the appropriate sac. | A visual analog scale is used to determine how difficult it is for a patient to fit his/her colostomy with an appropriate device. 0: perfect adhesion; 10: the device does not adjust to the shape of my skin, and I have permanent leakage. | 24 months |
| Pain around the colostomy | A visual analog scale is used to assess the patient's perception of pain around the stomy site. | 24 months |
| Abdominal pain | A visual analog scale is used to assess the patient's perception of abdominal pain. | 24 months |
| Pain medication consumption | 24 months |
| Number of colostomy leaks per day | 24 months |
| Number of colostomy sac changes per day | 24 months |
| Does the patient consider fitting a sac to his/her colostomy to be a difficult task? yes/no | 24 months |
| Questionnaire Stoma-QOL | Validated assessment of quality of life. | 24 months |
| Exposition of the prothesis (mesh): yes/no | 24 months |
| Questionnaire Stoma-QOL | Validated assessment of quality of life. | 12 months |
| Questionnaire Stoma-QOL | Validated assessment of quality of life. | 1 month |
| Presence/absence of peri-operative complications | Day 1 |
| Pain around the colostomy | A visual analog scale is used to assess the patient's perception of pain around the stomy site. | Day 1 |
| Pain around the colostomy | A visual analog scale is used to assess the patient's perception of pain around the stomy site. | 1 month |
| Pain around the colostomy | A visual analog scale is used to assess the patient's perception of pain around the stomy site. | 3 months |
| Pain around the colostomy | A visual analog scale is used to assess the patient's perception of pain around the stomy site. | 6 months |
| Pain around the colostomy | A visual analog scale is used to assess the patient's perception of pain around the stomy site. | 9 months |
| Pain around the colostomy | A visual analog scale is used to assess the patient's perception of pain around the stomy site. | 12 months |
| Pain around the colostomy | A visual analog scale is used to assess the patient's perception of pain around the stomy site. | 15 months |
| Pain around the colostomy | A visual analog scale is used to assess the patient's perception of pain around the stomy site. | 18 months |
| Pain around the colostomy | A visual analog scale is used to assess the patient's perception of pain around the stomy site. | 21 months |
| Abdominal pain | A visual analog scale is used to assess the patient's perception of abdominal pain. | Day 1 |
| Abdominal pain | A visual analog scale is used to assess the patient's perception of abdominal pain. | 1 month |
| Abdominal pain | A visual analog scale is used to assess the patient's perception of abdominal pain. | 3 months |
| Abdominal pain | A visual analog scale is used to assess the patient's perception of abdominal pain. | 6 months |
| Abdominal pain | A visual analog scale is used to assess the patient's perception of abdominal pain. | 9 months |
| Abdominal pain | A visual analog scale is used to assess the patient's perception of abdominal pain. | 12 months |
| Abdominal pain | A visual analog scale is used to assess the patient's perception of abdominal pain. | 15 months |
| Abdominal pain | A visual analog scale is used to assess the patient's perception of abdominal pain. | 18 months |
| Abdominal pain | A visual analog scale is used to assess the patient's perception of abdominal pain. | 21 months |
| Presence/absence of peristomal hernia | The presence of absence of a hernia is detected by clinical exam. | 1 month |
| Presence/absence of peristomal hernia | The presence of absence of a hernia is detected by clinical exam. | 3 months |
| Presence/absence of peristomal hernia | The presence of absence of a hernia is detected by clinical exam. | 6 months |
| Presence/absence of peristomal hernia | The presence of absence of a hernia is detected by clinical exam. | 9 months |
| Presence/absence of peristomal hernia | The presence of absence of a hernia is detected by clinical exam. | 15 months |
| Presence/absence of peristomal hernia | The presence of absence of a hernia is detected by clinical exam. | 18 months |
| Presence/absence of peristomal hernia | The presence of absence of a hernia is detected by clinical exam. | 21 months |
| Presence/absence of complications | Complications include: retraction, stenosis, prolapse, disunion, necrosis, abcess, infections, occlusion, strangulation, perforation, eczema, dermatitis, erythema, ulceration | 1 month |
| Presence/absence of complications | Complications include: retraction, stenosis, prolapse, disunion, necrosis, abcess, infections, occlusion, strangulation, perforation, eczema, dermatitis, erythema, ulceration | 3 months |
| Presence/absence of complications | Complications include: retraction, stenosis, prolapse, disunion, necrosis, abcess, infections, occlusion, strangulation, perforation, eczema, dermatitis, erythema, ulceration | 6 months |
| Presence/absence of complications | Complications include: retraction, stenosis, prolapse, disunion, necrosis, abcess, infections, occlusion, strangulation, perforation, eczema, dermatitis, erythema, ulceration | 9 months |
| Presence/absence of complications | Complications include: retraction, stenosis, prolapse, disunion, necrosis, abcess, infections, occlusion, strangulation, perforation, eczema, dermatitis, erythema, ulceration | 12 months |
| Presence/absence of complications | Complications include: retraction, stenosis, prolapse, disunion, necrosis, abcess, infections, occlusion, strangulation, perforation, eczema, dermatitis, erythema, ulceration | 15 months |
| Presence/absence of complications | Complications include: retraction, stenosis, prolapse, disunion, necrosis, abcess, infections, occlusion, strangulation, perforation, eczema, dermatitis, erythema, ulceration | 18 months |
| Presence/absence of complications | Complications include: retraction, stenosis, prolapse, disunion, necrosis, abcess, infections, occlusion, strangulation, perforation, eczema, dermatitis, erythema, ulceration | 21 months |
| Patient difficulty for fitting his/her colostomy with the appropriate sac. | A visual analog scale is used to determine how difficult it is for a patient to fit his/her colostomy with an appropriate device. 0: perfect adhesion; 10: the device does not adjust to the shape of my skin, and I have permanent leakage. | Day 1 |
| Patient difficulty for fitting his/her colostomy with the appropriate sac. | A visual analog scale is used to determine how difficult it is for a patient to fit his/her colostomy with an appropriate device. 0: perfect adhesion; 10: the device does not adjust to the shape of my skin, and I have permanent leakage. | 1 month |
| Patient difficulty for fitting his/her colostomy with the appropriate sac. | A visual analog scale is used to determine how difficult it is for a patient to fit his/her colostomy with an appropriate device. 0: perfect adhesion; 10: the device does not adjust to the shape of my skin, and I have permanent leakage. | 3 months |
| Patient difficulty for fitting his/her colostomy with the appropriate sac. | A visual analog scale is used to determine how difficult it is for a patient to fit his/her colostomy with an appropriate device. 0: perfect adhesion; 10: the device does not adjust to the shape of my skin, and I have permanent leakage. | 6 months |
| Patient difficulty for fitting his/her colostomy with the appropriate sac. | A visual analog scale is used to determine how difficult it is for a patient to fit his/her colostomy with an appropriate device. 0: perfect adhesion; 10: the device does not adjust to the shape of my skin, and I have permanent leakage. | 9 months |
| Patient difficulty for fitting his/her colostomy with the appropriate sac. | A visual analog scale is used to determine how difficult it is for a patient to fit his/her colostomy with an appropriate device. 0: perfect adhesion; 10: the device does not adjust to the shape of my skin, and I have permanent leakage. | 12 months |
| Patient difficulty for fitting his/her colostomy with the appropriate sac. | A visual analog scale is used to determine how difficult it is for a patient to fit his/her colostomy with an appropriate device. 0: perfect adhesion; 10: the device does not adjust to the shape of my skin, and I have permanent leakage. | 15 months |
| Patient difficulty for fitting his/her colostomy with the appropriate sac. | A visual analog scale is used to determine how difficult it is for a patient to fit his/her colostomy with an appropriate device. 0: perfect adhesion; 10: the device does not adjust to the shape of my skin, and I have permanent leakage. | 18 months |
| Patient difficulty for fitting his/her colostomy with the appropriate sac. | A visual analog scale is used to determine how difficult it is for a patient to fit his/her colostomy with an appropriate device. 0: perfect adhesion; 10: the device does not adjust to the shape of my skin, and I have permanent leakage. | 21 months |
| Pain medication consumption | Day 1 |
| Pain medication consumption | 1 month |
| Pain medication consumption | 3 months |
| Pain medication consumption | 6 months |
| Pain medication consumption | 9 months |
| Pain medication consumption | 12 months |
| Pain medication consumption | 15 months |
| Pain medication consumption | 18 months |
| Pain medication consumption | 21 months |
| Number of colostomy leaks per day | Day 1 |
| Number of colostomy leaks per day | 1 month |
| Number of colostomy leaks per day | 3 months |
| Number of colostomy leaks per day | 6 months |
| Number of colostomy leaks per day | 9 months |
| Number of colostomy leaks per day | 12 months |
| Number of colostomy leaks per day | 18 months |
| Number of colostomy leaks per day | 15 months |
| Number of colostomy leaks per day | 21 months |
| Number of colostomy sac changes per day | Day 1 |
| Number of colostomy sac changes per day | 1 month |
| Number of colostomy sac changes per day | 3 months |
| Number of colostomy sac changes per day | 6 months |
| Number of colostomy sac changes per day | 9 months |
| Number of colostomy sac changes per day | 12 months |
| Number of colostomy sac changes per day | 15 months |
| Number of colostomy sac changes per day | 18 months |
| Number of colostomy sac changes per day | 21 months |
| Does the patient consider fitting a sac to his/her colostomy to be a difficult task? yes/no | Day 1 |
| Does the patient consider fitting a sac to his/her colostomy to be a difficult task? yes/no | 1 month |
| Does the patient consider fitting a sac to his/her colostomy to be a difficult task? yes/no | 3 months |
| Does the patient consider fitting a sac to his/her colostomy to be a difficult task? yes/no | 6 months |
| Does the patient consider fitting a sac to his/her colostomy to be a difficult task? yes/no | 9 months |
| Does the patient consider fitting a sac to his/her colostomy to be a difficult task? yes/no | 12 months |
| Does the patient consider fitting a sac to his/her colostomy to be a difficult task? yes/no | 15 months |
| Does the patient consider fitting a sac to his/her colostomy to be a difficult task? yes/no | 18 months |
| Does the patient consider fitting a sac to his/her colostomy to be a difficult task? yes/no | 21 months |
| Exposition of the prothesis (mesh): yes/no | 1 month |
| Exposition of the prothesis (mesh): yes/no | 3 months |
| Exposition of the prothesis (mesh): yes/no | 6 months |
| Exposition of the prothesis (mesh): yes/no | 9 months |
| Exposition of the prothesis (mesh): yes/no | 12 months |
| Exposition of the prothesis (mesh): yes/no | 15 months |
| Exposition of the prothesis (mesh): yes/no | 18 months |
| Exposition of the prothesis (mesh): yes/no | 21 months |
| Presence/absence of a complication potentially linked to the presence of a mesh? | 1 month |
| Presence/absence of a complication potentially linked to the presence of a mesh? | 3 months |
| Presence/absence of a complication potentially linked to the presence of a mesh? | 6 months |
| Presence/absence of a complication potentially linked to the presence of a mesh? | 9 months |
| Presence/absence of a complication potentially linked to the presence of a mesh? | 12 months |
| Presence/absence of a complication potentially linked to the presence of a mesh? | 15 months |
| Presence/absence of a complication potentially linked to the presence of a mesh? | 18 months |
| Presence/absence of a complication potentially linked to the presence of a mesh? | 21 months |
| Presence/absence of a complication potentially linked to the presence of a mesh? | 24 months |
| Ablation of the mesh: yes/no | 1 month |
| Ablation of the mesh: yes/no | 3 months |
| Ablation of the mesh: yes/no | 6 months |
| Ablation of the mesh: yes/no | 9 months |
| Ablation of the mesh: yes/no | 12 months |
| Ablation of the mesh: yes/no | 15 months |
| Ablation of the mesh: yes/no | 18 months |
| Ablation of the mesh: yes/no | 21 months |
| Ablation of the mesh: yes/no | 24 months |
| Evaluation of colostomy healing by the clinician | The evaluating clinician (blind to the procedure) will evaluate the healing progress of the colostomy using a visual analog scale. | Day 1 |
| Evaluation of colostomy healing by the clinician | The evaluating clinician (blind to the procedure) will evaluate the healing progress of the colostomy using a visual analog scale. | 1 month |
| Evaluation of colostomy healing by the clinician | The evaluating clinician (blind to the procedure) will evaluate the healing progress of the colostomy using a visual analog scale. | 3 months |
| Evaluation of colostomy healing by the clinician | The evaluating clinician (blind to the procedure) will evaluate the healing progress of the colostomy using a visual analog scale. | 6 months |
| Evaluation of colostomy healing by the clinician | The evaluating clinician (blind to the procedure) will evaluate the healing progress of the colostomy using a visual analog scale. | 9 months |
| Evaluation of colostomy healing by the clinician | The evaluating clinician (blind to the procedure) will evaluate the healing progress of the colostomy using a visual analog scale. | 12 months |
| Evaluation of colostomy healing by the clinician | The evaluating clinician (blind to the procedure) will evaluate the healing progress of the colostomy using a visual analog scale. | 15 months |
| Evaluation of colostomy healing by the clinician | The evaluating clinician (blind to the procedure) will evaluate the healing progress of the colostomy using a visual analog scale. | 18 months |
| Evaluation of colostomy healing by the clinician | The evaluating clinician (blind to the procedure) will evaluate the healing progress of the colostomy using a visual analog scale. | 21 months |
| Evaluation of colostomy healing by the clinician | The evaluating clinician (blind to the procedure) will evaluate the healing progress of the colostomy using a visual analog scale. | 24 months |
| Duration of postoperative fever (hours) | 10 days |
| Presence/absence of postoperative fever > 37.2°C | Day 1 |
| Bordeaux |
| 33075 |
| France |
| CHRU de Clermont Ferrand | Clermont-Ferrand | 63058 | France |
| APHP - Hôpital Beaujon | Clichy | 92110 | France |
| Hôpital Albert Michallon, CHU de Grenoble | Grenoble | 38043 | France |
| APHP - Centre Hospitalier Universitaire de Bicêtre | Le Kremlin-Bicêtre | 94275 | France |
| Centre de Lutte Contre le Cancer - Centre Oscar Lambret | Lille | 59020 | France |
| CHRU de Lille - Hôpital Claude Huriez | Lille | 59037 | France |
| CHU de Lyon | Lyon | 69317 | France |
| Centre Régional de Lutte Contre le Cancer - Institut Paoli-Calmettes | Marseille | 13009 | France |
| APHM - Hôpital La Timone Adultes | Marseille | 13385 | France |
| Centre Régional de Lutte Contre le Cancer Val d'Aurelle - Paul Lamarque | Montpellier | 34298 | France |
| CHU de Nantes | Nantes | 44093 | France |
| Centre Hospitalier Universitaire de Nîmes | Nîmes | 30029 | France |
| APHP - Hôpital Lariboisière | Paris | 75010 | France |
| APHP - Hôpital Saint-Antoine | Paris | 75571 | France |
| APHP - Groupe Hospitalier Pitié-Salpetrière | Paris | 75651 | France |
| Hôpital Pontchailou | Rennes | 35033 | France |
| CHU de Rouen | Rouen | 76038 | France |
| Centre Régional de Lutte contre le Cancer Centre Paul Strauss | Strasbourg | 67065 | France |
| CHU de Toulouse | Toulouse | France |
| CH de Vichy - Jacques Larin | Vichy | 03207 | France |
| Derived |
| Prudhomme M, Alline M, Chauvat J, Fabbro-Perray P, Ripoche J, Bertrand MM; French Research Group of Rectal Cancer Surgery (GRECCAR). Primary prevention of peristomial hernias via parietal prostheses: A randomized, multicentric study (GRECCAR 7 trial). Dig Liver Dis. 2016 Jul;48(7):812-6. doi: 10.1016/j.dld.2016.03.020. Epub 2016 Apr 5. |
| ID | Term |
|---|---|
| D006547 | Hernia |
| ID | Term |
|---|---|
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
| ID | Term |
|---|---|
| D003125 | Colostomy |
| ID | Term |
|---|---|
| D004766 | Enterostomy |
| D013505 | Digestive System Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D010030 | Ostomy |
Not provided
Not provided