- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00905320
Hernia Repair With or Without Sutures (SONS)
Sutures or No Sutures (SONS)
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
This is a randomized study in which subjects will undergo one or two currently accepted techniques of mesh fixation during laparoscopic ventral hernia repair. Subject will undergo mesh fixation with either trans-abdominal sutures and metallic tacks or metallic tacks only.
Pain will be assessed through week 12, and hernia recurrence will be assessed for 2 years after surgery. Subjects will complete pain questionnaires at baseline, each day during hospital stay, and at follow-up visits at 2, 6, and 12 weeks after discharge. Quality of life questionnaires will be completed at baseline, at discharge from hospital, and during follow-up visits at 2, 6, and 12 weeks after discharge.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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Indiana
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Indianapolis, Indiana, Forenede Stater, 46202
- Indiana University
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-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
Demographics:
- Age ≥ 18 years old
- If female, negative pregnancy test
Pre-Operative Findings:
- Presence of an abdominal hernia associated with previous surgical incision
- Midline ventral\incisional hernia demonstrated either on physical examination by investigators or radiologic imaging tests.
- CT scan, MRI, Ultrasound
- No evidence of incarceration, strangulation
- Size of hernia ≥ 4 centimeters or ≤ 20 centimeters (cross-sectional diameter)
- Multiple hernias cumulative size ≤ 20 centimeters in cross-sectional diameter
Exclusion Criteria:
Pre-Operative History:
- Severe medical co-morbidities that prevent safe performance of laparoscopic surgery including coronary artery disease, obstructive pulmonary disease, etc.
History of the following:
- Connective tissue or wound healing disorder (e.g. Ehlers-Danlos syndrome)
- Chronic use (defined as greater than 3 months) of narcotic analgesic for pain other than from the hernia that is intended to be repaired
- Allergy to products used in hernia repair including surgical mesh
- Any abdominal ventral incisional hernia previously repaired with permanent synthetic mesh placed inside the peritoneal cavity
- Loss of abdominal domain (i.e. majority of abdominal organs lie outside confines of the abdominal musculature and fascia)
- Presence of simultaneous intra-abdominal infection
- Simultaneous presence of a bowel obstruction
- History of suspected or known addiction to or abuse of illicit drug(s), prescription medicine(s), or alcohol within the past 2 years.
- Uncontrolled anxiety, schizophrenia, or other psychiatric disorder that, in the opinion of the Investigator, may interfere with study assessments or compliance.
Intra-operative Findings:
- Simultaneous performance of another surgical procedure during hernia repair other than acts necessary to complete hernia repair (e.g. cutting of abdominal adhesions)
- Intra-operative identification of full thickness injury to intestine (i.e. enterotomy), liver, bladder, etc.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Enkelt gruppeopgave
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
---|---|
Aktiv komparator: Metallic Fasteners and Sutures
Laparoscopic ventral hernia repair with mesh fixation using both metallic fasteners and transabdominal sutures
|
Subjects will undergo hernia repair with mesh fixation.
Fixation involves using metallic fasteners and sutures.
Andre navne:
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Eksperimentel: Metallic Fasteners Alone
Laparoscopic ventral hernia repair with mesh fixation using metallic fasteners alone
|
Subjects will undergo hernia repair with mesh fixation.
Fixation involves using metallic fasteners alone.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Post-op Pain
Tidsramme: 12 Weeks
|
Short-Form McGill Pain Questionnaire (SFMP)
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12 Weeks
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Hernia recurrence
Tidsramme: 2 Years
|
CT Scan
|
2 Years
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Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Don Selzer, MD, Indiana University Department of Surgery
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 0803-15
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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Kliniske forsøg med Brok
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Skane University HospitalLund University; Ethicon, Inc.; Crafoord Foundation; Region Skåne FoUU; The Einar... og andre samarbejdspartnereAfsluttetHERNIA, VENTRALSverige