Prevention of Abdominal Incisional Hernia After Laparoscopic Digestive Surgery in Obese Patients (BMI>30kg/m2) (EVINOV)
EVINOV: Prevention of Abdominal Incisional Hernia After Laparoscopic Digestive Surgery in Obese Patients (BMI>30kg/m2)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The study will be conducted at the Institut Mutualiste Montsouris, it is planned to include 350 patients in 12 months, the duration of participation of each patient is 24 months.
An orthopaedist will see patients in consultation to take their measurements, patients complete a quality of life questionnaire (the SF 36), when they are admitted for surgery.
After surgery, patients begin wearing their belts according to the instructions given by the surgeon during hospitalization:
- Start wearing the belt as soon as possible.
- wear it according to its recommendations: all day, every day of the week and for two months.
Patients should record the number of hours they would have worn their belts in the EVINOV logbook each day.
The studu Co will contact patients by phone every two weeks for the 2 months they will be wearing the belt.
At the one-month post-operative consultation, the patient will complete a quality of life questionnaire again (the SF 36).
Two months after surgery, patients receive a final SF 36 questionnaire by mail, with a satisfaction scale to evaluate their overall feeling around the period of wearing the abdominal belt. Patients are asked to return these two documents, as well as the EVINOV logbook.
The latest health data collection is the imaging data from the abdominal CT scan at 24 months, which will show the presence or absence of an incisional hernia.
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Isabelle Sauret
- Phone Number: 0033 0156616968
- Email: isabelle.sauret@imm.fr
Study Contact Backup
- Name: Mouloud Bellahoues
- Phone Number: 0033 0156616486
- Email: mouloud.bellahoues@imm.fr
Study Locations
-
-
-
Paris, France, 75014
- Recruiting
- Institut Mutualiste Montsouris
-
Contact:
- Guillaume Pourcher, Dr
- Phone Number: 0033 0156616309
- Email: guillaume.pourcher@imm.fr
-
Principal Investigator:
- Guillaume Pourcher, Dr
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Must be ≥18 years of age.
- Signed an informed consent form (ICF) indicating that the subject understands the purpose of and procedures required for the study.
- Having a BMI >30kg/m2.
- Affiliated to health insurance regimen.
- Having undergone laparoscopic digestive surgery
Exclusion Criteria:
- Pregnancy or breastfeeding.
- Patient under guardianship or unable to give consent.
- People particularly protected by French law.
- Having undergone laparoscopic digestive surgery with ileostomy or ostomy closure.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Elasto compression belt
all patients must wear the belt 2 months after laparoscopic digestive surgery.
|
It is a customised medical device, using a technique for calculating the compression ratio adapted to each patient according to his morphology
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Presence or not of an eventration
Time Frame: During the 24 months following sugery
|
The presence of the eventration is detected by an abdominal CT scan.
|
During the 24 months following sugery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Patient satisfaction: 5 level Likert scale2
Time Frame: 2 months after surgery
|
The satisfaction of patient is evaluated by the 5 level Likert scale2
|
2 months after surgery
|
|
Quality of life of patients: SF-36 quetionnaire
Time Frame: before surgery, 1 month after surgery and 2 months after surgery.
|
The quality of life of patients is evaluated using SF-36 quetionnaire.
|
before surgery, 1 month after surgery and 2 months after surgery.
|
|
Compliance with preventive treatment by the abdominal support belt.
Time Frame: 2 months after surgery
|
Patient compliance collected through a logbook completed daily.
|
2 months after surgery
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Guillaume Pourcher, Dr, Institut Mutualiste Montsouris
Publications and helpful links
General Publications
- Lee DY, Rehmani SS, Guend H, Park K, Ross RE, Alkhalifa M, McGinty JJ, Teixeira JA. The incidence of trocar-site hernia in minimally invasive bariatric surgery: a comparison of multi versus single-port laparoscopy. Surg Endosc. 2013 Apr;27(4):1287-91. doi: 10.1007/s00464-012-2597-5. Epub 2012 Dec 12.
- Agaba EA, Rainville H, Ikedilo O, Vemulapali P. Incidence of port-site incisional hernia after single-incision laparoscopic surgery. JSLS. 2014 Apr-Jun;18(2):204-10. doi: 10.4293/108680813X13693422518317.
- Bosanquet DC, Ansell J, Abdelrahman T, Cornish J, Harries R, Stimpson A, Davies L, Glasbey JC, Frewer KA, Frewer NC, Russell D, Russell I, Torkington J. Systematic Review and Meta-Regression of Factors Affecting Midline Incisional Hernia Rates: Analysis of 14,618 Patients. PLoS One. 2015 Sep 21;10(9):e0138745. doi: 10.1371/journal.pone.0138745. eCollection 2015.
- Weissler JM, Lanni MA, Hsu JY, Tecce MG, Carney MJ, Kelz RR, Fox JP, Fischer JP. Development of a Clinically Actionable Incisional Hernia Risk Model after Colectomy Using the Healthcare Cost and Utilization Project. J Am Coll Surg. 2017 Aug;225(2):274-284.e1. doi: 10.1016/j.jamcollsurg.2017.04.007. Epub 2017 Apr 23.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
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
- DIG-02-2018
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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