NCT01247389

Incisional Hernia After Midline Versus Transverse Extraction Incision in Laparoscopic Colectomy

Incisional Hernia After Midline Versus Transverse Extraction Incision in Laparoscopic Colectomy: A Pilot Randomized Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 165 (actual)
• Sponsor: McGill University Health Centre/Research Institute of the McGill University Health Centre · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Incisional hernia (IH) is a common complication of midline laparotomy. Despite the hope that laparoscopic colon resection would result in fewer incisional hernias, prospective studies demonstrate a similar incidence to open surgery. Observational studies suggest that the rate of incisional hernia after laparoscopic colon resection may be reduced with the use of a transverse compared to a midline extraction incision. However, no randomized trails are available, and a midline extraction incision for hemicolectomy remains the standard current approach. The investigators hypothesize that the use of a lower abdominal transverse muscle splitting incision for specimen extraction in laparoscopic colon surgery will result in fewer incisional hernias compared to a midline periumbilical extraction incision.

Conditions

• Laparoscopic Colectomy

Interventions

Type	Name	Description
PROCEDURE	laparoscopic colectomy	Laparoscopic segmental colectomy with planned abdominal extraction site

Timeline

• Start date: 2011-07-01
• Primary completion: 2016-12-01
• Completion: 2016-12-01
• First posted: 2010-11-24
• Last updated: 2018-08-15

Locations

1 site across 1 country: Canada