Trial Outcomes & Findings for Prospective Trial Comparing Two Different Polypropylene Meshes for Inguinal Hernias (NCT NCT01825187)

NCT ID: NCT01825187

Last Updated: 2022-06-14

Results Overview

The primary outcome measure was a comparison of mesh insertion times and were tested using a 2 × 2 ANOVA on the ranked times. Timing of the mesh placement was documented, which included time from mesh insertion in the trocar until completion of mesh fixation. Laparoscopic fixation was performed by placing four tacks; two in the pubic bone, one medial, and one lateral on the upper portion of the mesh. The types of tacks used were AbsorbaTack™ (Medtronics), sutures, CapSure™ (CR Bard) and OptiFix™ (CR Bard). Timing of mesh placement in robotic repairs included mesh placement and the time to place three suture fixation points; one at the pubis, one at the anterior, and 1 at the lateral abdominal wall at the top of the mesh.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

75 participants

Primary outcome timeframe

During the procedure an average of an hour

Results posted on

2022-06-14

Participant Flow

Participant milestones

Participant milestones
Measure
ULTRAPRO Mesh Group
Patients in this group will be randomized to receive the ULTRAPRO mesh ULTRAPRO Mesh: Patients who are randomized to this group will received ULTRAPRO Mesh for their hernia repair
3DMAX Mesh Group
Patients in this group will be randomized to receive the 3DMAX Mesh 3DMAX: Patients who are randomized to this group will receive 3DMAX mesh for their hernia repair
Evaluation of Surgical Residents
Surgical residents will be evaluated on the ease of use and the amount of time it takes for them to perform the surgery using these two different meshes. Evaluation: To evaluate the ease of use and time it takes residents to place and perform the surgery using these two different meshes.
Overall Study
STARTED
25
25
25
Overall Study
COMPLETED
24
24
24
Overall Study
NOT COMPLETED
1
1
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Prospective Trial Comparing Two Different Polypropylene Meshes for Inguinal Hernias

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ULTRAPRO Mesh
n=25 Participants
Patients in this group will be randomized to receive the ULTRAPRO mesh ULTRAPRO Mesh: Patients who are randomized to this group will received ULTRAPRO Mesh for their hernia repair
3DMAX Mesh
n=25 Participants
Patients in this group will be randomized to receive the 3DMAX Mesh 3DMAX: Patients who are randomized to this group will receive 3DMAX mesh for their hernia repair
Total
n=50 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
14 Participants
n=99 Participants
15 Participants
n=107 Participants
29 Participants
n=206 Participants
Age, Categorical
>=65 years
11 Participants
n=99 Participants
10 Participants
n=107 Participants
21 Participants
n=206 Participants
Age, Continuous
62 years
n=99 Participants
59 years
n=107 Participants
61 years
n=206 Participants
Sex: Female, Male
Female
5 Participants
n=99 Participants
8 Participants
n=107 Participants
13 Participants
n=206 Participants
Sex: Female, Male
Male
20 Participants
n=99 Participants
17 Participants
n=107 Participants
37 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=99 Participants
23 Participants
n=107 Participants
27 Participants
n=206 Participants
Race (NIH/OMB)
White
21 Participants
n=99 Participants
1 Participants
n=107 Participants
22 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Region of Enrollment
United States
25 Participants
n=99 Participants
25 Participants
n=107 Participants
50 Participants
n=206 Participants

PRIMARY outcome

Timeframe: During the procedure an average of an hour

The primary outcome measure was a comparison of mesh insertion times and were tested using a 2 × 2 ANOVA on the ranked times. Timing of the mesh placement was documented, which included time from mesh insertion in the trocar until completion of mesh fixation. Laparoscopic fixation was performed by placing four tacks; two in the pubic bone, one medial, and one lateral on the upper portion of the mesh. The types of tacks used were AbsorbaTack™ (Medtronics), sutures, CapSure™ (CR Bard) and OptiFix™ (CR Bard). Timing of mesh placement in robotic repairs included mesh placement and the time to place three suture fixation points; one at the pubis, one at the anterior, and 1 at the lateral abdominal wall at the top of the mesh.

Outcome measures

Outcome measures
Measure
ULTRAPRO Mesh
n=24 Participants
ULTRAPRO Mesh: Patients randomized to this group received ULTRAPRO Mesh for their hernia repair
3DMAX Mesh
n=24 Participants
3DMAX: Patients randomized to this group received 3DMAX mesh for their hernia repair
Inguinal Hernia Mesh Insertion Times
9.76 Minutes
Standard Deviation 7.24
8.70 Minutes
Standard Deviation 5.86

SECONDARY outcome

Timeframe: During procedure an average of 1 hour

Following surgery, the Hart and Staveland's NASA Task Load Index (TLX) survey was completed by the surgeon to evaluate the surgeon's perceived difficulty and success of the operation. Scale ranges from very low (0) to very high (20) on a 20 point scale (0-20 points). For all outcome measures except performance, 0 indicates the worst outcome and 20 indicates the best outcome. For performance, 0 indicates perfect and 20 indicates failure.

Outcome measures

Outcome measures
Measure
ULTRAPRO Mesh
n=24 Participants
ULTRAPRO Mesh: Patients randomized to this group received ULTRAPRO Mesh for their hernia repair
3DMAX Mesh
n=24 Participants
3DMAX: Patients randomized to this group received 3DMAX mesh for their hernia repair
NASA TLX Survey Index Scores
NASA Performance
8.04 Score on NASA scale
Standard Deviation 5.34
6.54 Score on NASA scale
Standard Deviation 3.48
NASA TLX Survey Index Scores
NASA Mental Demand
7.63 Score on NASA scale
Standard Deviation 5.07
8.67 Score on NASA scale
Standard Deviation 4.20
NASA TLX Survey Index Scores
NASA Physical Demand
6.67 Score on NASA scale
Standard Deviation 5.39
7.00 Score on NASA scale
Standard Deviation 3.88
NASA TLX Survey Index Scores
NASA Temporal Demand
7.46 Score on NASA scale
Standard Deviation 4.95
8.00 Score on NASA scale
Standard Deviation 4.02

Adverse Events

ULTRAPRO Mesh Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

3DMAX Mesh Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Evaluation of Surgical Residents

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. William Hope

New Hanover Regional medical Center

Phone: (910)667-9233

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place