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Randomised controlled trial comparing Ventralex Hernia Patch with Stratafix suture for repair of primary ventral hernias in the midline.
Primary hernias in the midline, including umbilical hernias and epigastric hernias, are among the most common conditions requiring surgery.
Mesh-reinforced as well as suture repair are used for the treatment of primary hernias, but for smaller umbilical hernias (diameter 1-3cm), there is little evidence for the superiority of mesh repair. Despite the widely use of composite ventral patch, there are few studies showing the advantage and disadvantage of ventral patch. In recent years, the barbed suture has been widely used in umbilical and incisional hernias, in laparoscopic as well as in open surgery. However, there are no studies comparing ventral patch with slowly absorbable barbed suture in open surgery.
The investigators intend to compare the use of sublay composite mesh (ventral-patch) with non-resorbable barbed prolene suture repair only and investigate recurrence rate and other short and long-term postoperative complications in these two methods.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ventralex | Experimental | Repair with Ventralex hernia patch in sublay position |
|
| Stratafix | Active Comparator | Repair with Stratafix suture |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ventralex | Device | Repair of hernia using Ventralex patch in sublay position |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Hernia recurrence | Recurrence diagnosed at clinical and/or radiologic examination | One year |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of intra-and postoperative complications | Complications occurring intraoperatively or in the postoperative period | 30 days |
| Rate of seroma development | Seroma confirmed at follow-up examination |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gabriel Sandblom, MD, PhD | Karolinska Institutet | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karlskoga Hospital | Karlskoga | Sweden |
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| ID | Term |
|---|---|
| D006555 | Hernia, Ventral |
| ID | Term |
|---|---|
| D046449 | Hernia, Abdominal |
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Randomised controlled trial comparing Ventralex hernia patch with Stratafix sutures for repair of primary ventral hernias
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The patient and the staff responsible for the postoperative care of the patient will be masked for the allocation.
| Stratafix |
| Other |
Repair of hernia without mesh. Defect closed with Stratafix suture. |
|
| one year |
| Persisting pain | Postoperative pain rated with the Ventral Hernia Pain Questionnaire. Pain rated on a scale from 1 to 7, with higher scores indicating more severe pain | One year |
| Mean number of days postoperative sick leave | Postoperative sick leave | 30 days |