Preemer Trial - Prophylactic Mesh Versus no Mesh in the Midline Emergency Laparotomy Closure for Prevention of Incisional Hernia: a Multi Center, Double-blind, Randomized Controlled Trial
NCT04311788 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 109
Last updated 2024-02-01
Summary
244 patients, who have an emergency midline laparotomy for any gastrointestinal reason, will be randomized in a 1:1 ratio either to mesh group with a retrorectus prophylactic self-gripping mesh or to control group with 4:1 small stitch closure by continuous monofilament suture. They will be followed up at 30 days, 2 and 5 years to detect the incidence of incisional hernia.
Conditions
- Incisional Hernia
- Emergency Laparotomy
- Midline Laparotomy
- Hernia Prevention
Interventions
- DEVICE
-
Prophylactic self gripping mesh
Prophylactic self gripping mesh, Propgrip by Medtronic.
- DEVICE
-
Slowly absorbable continuous monofilament suture
Fascial closure by continuous slowly absorbable 4:1 suture
Sponsors & Collaborators
-
Helsinki University Central Hospital
collaborator OTHER -
University of Oulu
lead OTHER
Principal Investigators
-
Elisa Mäkäräinen-Uhlbäck, M.D. · Oulu University Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-04-27
- Primary Completion
- 2025-02-03
- Completion
- 2028-03-31
Countries
- Finland
Study Locations
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