Open Mesh Versus Suture Repair in Treatment of Abdominal Wall Hernias (HSS-AHS)
Results of Open Mesh Versus Suture Repair in Treatment of Abdominal Wall (Multicentric, Prospective, Randomised, Internet-based, Clinical Trial)
The purpose of this study is to:
- compare the long term results of mesh versus suture repair in treatment of abdominal wall defects;
- find the optimal location of implanted prosthesis, comparing the two most useful position of mesh in abdominal wall hernia surgery.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Pecs, Hungary, 7624
- Dept. of Surgery Univ. of Pecs
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- During the two-year randomization period at the joined centres all patients were included who were admitted with abdominal wall or umbilical hernia and who suited the requirements.
- All the patients with primer or first recurrence of postoperative abdominal or primer or first recurrence of umbilical hernia were randomized into this study.
- For involvement into the study good patient compliance, signed consent form, normal local circumstances were needed.
Exclusion Criteria:
- Ages fewer than 18 or above 70 years
- Hernia orifice under 5 cm2.
- Planned or accidental intraoperative opening of any bowel.
- Unstable parameters of circulation, uncontrollable diabetic or autoimmune disease.
- Severe renal or hepatic failure
- Advanced stage of tumours or currently treated malignancies.
- Inflamed or muddy content of hernia sac.
- If the patient did not signed the consent form.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: SCREENING
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
ACTIVE_COMPARATOR: small hernias - suture repair
|
suture repair, mesh repair, onlay mesh reconstruction, sublay mesh reconstruction, recurrence rate
|
|
ACTIVE_COMPARATOR: small hernias - mesh repair
|
suture repair, mesh repair, onlay mesh reconstruction, sublay mesh reconstruction, recurrence rate
|
|
ACTIVE_COMPARATOR: large hernias - sublay mesh
|
suture repair, mesh repair, onlay mesh reconstruction, sublay mesh reconstruction, recurrence rate
|
|
ACTIVE_COMPARATOR: large hernias - onlay mesh
|
suture repair, mesh repair, onlay mesh reconstruction, sublay mesh reconstruction, recurrence rate
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
recurrence rate after hernia surgery
Time Frame: 5 years
|
5 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
chronic pain after hernia surgery
Time Frame: more one year
|
more one year
|
|
complications after hernia surgery
Time Frame: 0-5 years
|
0-5 years
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: György Wéber, Prof. Dr., Hungarian Surgical Society
- Study Director: József Baracs, Dr., Hungarian Surgical Society
Publications and helpful links
General Publications
- Weber G, Horvath OP. [Results of ventral hernia repair: comparison of suture repair with mesh implantation (onlay vs sublay) using open and laparoscopic approach--prospective, randomized, multicenter study]. Magy Seb. 2002 Oct;55(5):285-9. Hungarian.
- Weber G, Baracs J, Horvath OP. ["Onlay" mesh provides significantly better results than "sublay" reconstruction. Prospective randomized multicenter study of abdominal wall reconstruction with sutures only, or with surgical mesh--results of a five-years follow-up]. Magy Seb. 2010 Oct;63(5):302-11. doi: 10.1556/MaSeb.63.2010.5.3. Hungarian.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- HSS-AHS 02-09
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