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Ventral hernias, primary and recurrent, are major surgical challenge. We aim to investigate efficacy of modified technique of ventral hernias repair: an "open intraperitoneal mesh" technique.
We analyzed early postoperative complications (EPCs; wound infection, hematoma, and seroma) and late postoperative complications (recurrence) in 124 patients operated for IHs and recurrent IHs (RIHs) using our new technique. Our technique involved repairing hernias by preserving the hernia sac, which was later used to conceal the mesh that replaced the abdominal wall defect, thus dividing the mesh from subcutaneous tissue.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| modified "open mesh technique" | Experimental | We performed an "open" intraperitoneal mesh technique in all patients: we placed surgical mesh of appropriate size intraperitoneally with transfascial fixation and drainage. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| modified "open mesh technique" | Procedure | We positioned mesh intraperitoneally so it can provide adequate mechanical support to the weakened abdominal wall. We also preserved hernia sack to conceal the mesh. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Early Postoperative Complications (Wound Infections, Seroma, Hematoma) | we counted number of patinetns with wound infection, seroma, hematoma that occured in the early postoperative time | four weeks after the surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Patients With Postoperative Hernia Recurrence | up to 36 months after the surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ranko Stare, MD, PhD | Varazdin General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Varazdin General Hospital | Varaždin | HR-42000 | Croatia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27209474 | Result | Pajtak A, Stare R, Biskup I, Lukic A, Skorjanec S, Hrzenjak K. A modified open intraperitoneal mesh (Garestin) technique for incisional ventral hernia repair. Asian J Surg. 2017 Jul;40(4):278-284. doi: 10.1016/j.asjsur.2016.02.001. Epub 2016 May 18. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Modified "Open Mesh Technique" | We performed an "open" intraperitoneal mesh technique in all patients: we placed surgical mesh of appropriate size intraperitoneally with transfascial fixation and drainage. modified "open mesh technique": We positioned mesh intraperitoneally so it can provide adequate mechanical support to the weakened abdominal wall. We also preserved hernia sack to conceal the mesh. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Modified "Open Mesh Technique" | We performed an "open" intraperitoneal mesh technique in all patients: we placed surgical mesh of appropriate size intraperitoneally with transfascial fixation and drainage. modified "open mesh technique": We positioned mesh intraperitoneally so it can provide adequate mechanical support to the weakened abdominal wall. We also preserved hernia sack to conceal the mesh. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Early Postoperative Complications (Wound Infections, Seroma, Hematoma) | we counted number of patinetns with wound infection, seroma, hematoma that occured in the early postoperative time | Posted | Number | participants | four weeks after the surgery |
|
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Modified "Open Mesh Technique" | We performed an "open" intraperitoneal mesh technique in all patients: we placed surgical mesh of appropriate size intraperitoneally with transfascial fixation and drainage. modified "open mesh technique": We positioned mesh intraperitoneally so it can provide adequate mechanical support to the weakened abdominal wall. We also preserved hernia sack to conceal the mesh. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Alen Pajtak | Varazdin General Hospital | +38542393053 | alen.pajtak@obv.hr |
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| ID | Term |
|---|---|
| D006555 | Hernia, Ventral |
| D007239 | Infections |
| D006406 | Hematoma |
| D049291 | Seroma |
| D012008 | Recurrence |
| ID | Term |
|---|---|
| D046449 | Hernia, Abdominal |
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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|
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Counts |
|---|
| Participants |
|
|
| Secondary | Number of Patients With Postoperative Hernia Recurrence | Posted | Count of Participants | Participants | up to 36 months after the surgery |
|
|
|
| 0 |
| 124 |
| 0 |
| 124 |
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| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D007249 | Inflammation |
| D020969 | Disease Attributes |