The Use of Synthetic Mesh in Contaminated and Infected Abdominal Wall Repairs. A Long-term Prospective Clinical Trial
NCT03702153 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 80
Last updated 2018-10-10
Summary
Background: Abdominal wall reconstruction in patients presenting with enteric fistulas and mesh infection is challenging. There is a consensus that synthetic mesh must be avoided in infected operations. The alternatives to using synthetic mesh, such as component separation techniques and biologic mesh, present disappointing results with expressive wound infection and hernia recurrence rates.
Methods: A prospective clinical trial designed to evaluate the short and the long-term outcomes of patients submitted to elective abdominal wall repair with synthetic mesh in the dirty-infected setting, and compared to a cohort of patients submitted to clean ventral hernia repairs.
Conditions
- Abdominal Wall Defect
- Abdominal Wall Infection
- Abdominal Wall Fistula
- Infection
Interventions
- PROCEDURE
-
Abdominal wall reconstruction
The repair of abdominal wall defects with polypropylene mesh
Sponsors & Collaborators
-
University of Sao Paulo General Hospital
lead OTHER
Principal Investigators
-
Claudio Birolini, MD · Hospital das Clínicas da FMUSP
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-01-01
- Primary Completion
- 2015-02-28
- Completion
- 2018-02-28
Countries
- Brazil
Study Locations
More Related Trials
-
Prevention of Incisional Hernia by Mesh Augmentation After Midline Laparotomy for Aortic Aneurysm Treatment
NCT00757133 ·Status: COMPLETED ·Phase: NA
-
Full-thickness Skin vs. Synthetic Mesh in the Repair of Large Incisional Hernia
NCT01413412 ·Status: UNKNOWN ·Phase: NA
-
Changing the Innate Consensus About Mesh Fixation in Trans-abdominal Preperitoneal Laparoscopic Inguinal Hernioplasty in Adults: Short and Long Term Outcome. Randomized Controlled Clinical Trial
NCT04272424 ·Status: COMPLETED ·Phase: NA
-
Prophylactic Mesh Reinforcement for Stoma Closure
NCT06157645 ·Status: COMPLETED ·Phase: NA
-
Prophylaxis of Ileostomy Closure Site Hernia by Placing Mesh
NCT02226887 ·Status: UNKNOWN ·Phase: PHASE4
-
Feasibility of Permacol Use in Infected Fields
NCT00820040 ·Status: TERMINATED ·Phase: PHASE2
-
Laparoscopic or Conventional Mesh Repair of Incisional and Umbilical Hernia
NCT00970515 ·Status: TERMINATED ·Phase: NA
-
Prophylactic Implantation of Biologic Mesh in Peritonitis
NCT04681326 ·Status: UNKNOWN ·Phase: NA
-
Biosynthetic Absorbable Mesh vs Standard of Repair for the Surgical Treatment of Infected Incisional Hernia
NCT04597840 ·Status: UNKNOWN ·Phase: NA
-
Stoma Hernia Intraperitoneal Full-Thickness Skin
NCT03667287 ·Status: RECRUITING ·Phase: NA
-
Synthetic Mesh Explant Study
NCT01880021 ·Status: COMPLETED
-
Non Absorbable Mesh Reinforcement of Midline Incision Closure in High Risk Patients, Onlay Versus Preperitoneal Position, a Comparative Clinical Trial
NCT04145908 ·Status: COMPLETED ·Phase: NA
-
Study of Absorbable Biosynthetic Meshes in Contaminated Ventral Hernia Repair
NCT04132986 ·Status: UNKNOWN
-
Onlay Versus Sublay Mesh in Incisional Hernia
NCT06197854 ·Status: NOT_YET_RECRUITING
-
Management and Outcome of Mesh Infection After Abdominoplasty in a Tertiary Care Centre
NCT06682091 ·Status: COMPLETED
-
Biological Mesh Versus Synthetic Mesh in Interdisciplinary RRP With SCP
NCT06245577 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Prophylactic Mesh Implantation in Patients With Peritonitis for the Prevention of Incisional Hernia
NCT01802164 ·Status: TERMINATED ·Phase: NA
-
Environmental Risk Factors of Mesh Infection After Abdominal Wall Hernia Repair
NCT04174976 ·Status: UNKNOWN
-
Duramesh™ vs Polydioxanone Suture for Laparotomy Closure
NCT05804136 ·Status: RECRUITING ·Phase: NA
-
Normal and Small Size Mesh in Open Inguinal Herni Repair
NCT04269330 ·Status: COMPLETED ·Phase: NA
-
Comparison of Self-Fixating vs Non-Fixating Hernia Mesh
NCT02062775 ·Status: COMPLETED ·Phase: NA
-
Incisional Hernia Outcomes Study Using Parietex Composite Mesh
NCT00459602 ·Status: TERMINATED
-
the Use of a IPOM Mesh for Prevention of Parastomal Hernia
NCT02368873 ·Status: COMPLETED ·Phase: NA
-
Long-term Follow-up of Incisional Hernia Repaired With Intraperitoneal Mesh
NCT00891254 ·Status: COMPLETED ·Phase: PHASE1
-
Complex Abdominal Wall Reconstruction Using Biologic Mesh
NCT04780048 ·Status: UNKNOWN