NCT06178965

Incisional Hernia Repair by Abdominal Wall Component Release With Contemporary Onlay Mesh Fixation

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 17 (actual)
• Sponsor: Zagazig University · Other Government
• Sex: All
• Age: 16 Years
• Healthy volunteers: Accepted

Summary

There is a great expansion in the presentation of complex incisional hernia defects. Primary closure for most cases is impossible with a high rate of recurrence. Component separation provides an autologous repair of the defect but still has considerable recurrence rate. Reinforcement of component separation provides a more strength full repair and may be less recurrence.

Detailed description

the surgical correction was done under general anesthesia. After scrubbing and draping, an elliptical incision was performed . Open the hernia sac then reduce the contents with adhesolysis as required. subcutaneous flaps on both sides were created in a manner that permit to spread an 8 cm mesh after the closure of the abdominal wall. approximate the facia after trimming of its edges with clamps with a manner that allow 1to 2 cm overlap in the midline without tension. In case of tension do selective myofascial advancement (sequential components release). Our steps would be first a unilateral posterior rectus sheath release (1-2 cm longuitodinal incision lateral to linea alba) and reassess, if tension still present, bilateral posterior sheath release should be performed.If tension still present, do a unilateral then bilateral external oblique release as required (1-2 cm lateral to the linea semilunaris along the length of the abdominal wall). close the defect with prolene 1 then cover with onlay wide pore mesh fixation with 2/0 prolene. Close the skin after placement of 2 subcutaneous suction drains.

Conditions

• Incisional Hernia
• Onlay Mesh
• Abdominal Wall Component Release

Interventions

Type	Name	Description
PROCEDURE	Incisional Hernia Repair by Abdominal Wall Component Release with Contemporary Onlay Mesh Fixation	patients with incisional hernia will be operated by hernia reduction and sac closure followed by placement of onlay mesh after creating suitable flaps.

Timeline

• Start date: 2022-12-01
• Primary completion: 2023-12-01
• Completion: 2024-06-01
• First posted: 2023-12-21
• Last updated: 2023-12-21

Locations

1 site across 1 country: Egypt