The Flemish Umbilical Nitinol Mesh Trial, a Multicenter Trial (FUN)
The Flemish Umbilical Nitinol Mesh Trial, a Multicenter Randomized Controlled Trial.
The use of mesh in the repair of umbilical hernias is a gold standard. The best location of the mesh remains a matter of discussion, i.e. it might be placed inside the peritoneal cavity (open intraperitoneal onlay mesh) or between the peritoneum and the muscle layers, so not in contact with the viscera (retromuscular or preperitoneal). The Rebound mesh consists of polypropylene, i.e. the most used fabric for meshes, in combination with a nitinol memory ring. This ring allows the surgeon to position the mesh more flat, with less wrinkling and subsequently better tissue ingrowth. It also saves time for both patient's anesthesia and the surgery.
This type of mesh (one coated with PTFE for intra-abdominal use and one pure polypropylene for preperitoneal use), will be used in this multicentric trial, to evaluate the best procedure in terms of efficacy, safety and postoperative complications.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Aude Vanlander, MD
- Email: Aude.Vanlander@ugent.be
Study Locations
-
-
-
Aalst, Belgium, 9300
- ASZ Aalst
-
Ghent, Belgium, 9000
- Ghent University Hospital
-
Leuven, Belgium, 3000
- UZ Leuven
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- written informed consent from the patient or his/her legal representative
- primary umbilical hernia requiring elective surgical repair
- diameter between 0 and 3 cm
Exclusion Criteria:
- no written informed consent
- incisional hernia at the level of the umbilicus
- recurrent umbilical hernia, as they have to be considered an incisional hernia
- emergency surgery (incarcerated hernia)
- pregnancy
- non-compliance
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Intraperitoneal mesh placement
Mesh placement inside the peritoneal cavity
|
Mesh placement inside the peritoneal cavity.
|
|
Active Comparator: Preperitoneal mesh placement
Mesh placement between peritoneum and muscle layer.
|
Mesh placement between peritoneum and muscle layer.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Operation time between preperitoneal mesh placement versus intraperitoneal mesh placement.
Time Frame: Total duration of the operation with an expected average of approximately 45 minutes.
|
Time registration of the operating time will be extracted from the hospital electronic patient files.
|
Total duration of the operation with an expected average of approximately 45 minutes.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Surgical wound morbidity complication rate.
Time Frame: Up to 1 year.
|
Up to 1 year.
|
|
|
Recurrence Rate
Time Frame: up to 2 years
|
Clinical examination will be performed.
No ultrasound, unless doubt about recurrence.
|
up to 2 years
|
|
Pain evaluation
Time Frame: within 2 weeks prior to surgery, after 4 weeks, after 1 year and after 2 years
|
A questionnaire and Visual Analog Scale (VAS) will be filled out.
The patient is asked whether he or she has pain.
Answer NO: VAS = 0, Yes: patient will determine the exact VAS score.
|
within 2 weeks prior to surgery, after 4 weeks, after 1 year and after 2 years
|
|
Discomfort evaluation.
Time Frame: Within 2 weeks prior to surgery, after 4 weeks, after 1 year and after 2 years.
|
A questionnaire and Visual Analog Scale (VAS) will be filled out.
The patient is asked whether he or she has discomfort.
Answer NO: VAS = 0, Yes: patient will determine the exact VAS score.
|
Within 2 weeks prior to surgery, after 4 weeks, after 1 year and after 2 years.
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Frederik Berrevoet, MD, PhD, University Hospital, Ghent
Publications and helpful links
Helpful Links
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 (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- EC/2012/072
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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