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Suture Techniques to Reduce the Incidence of The inCisional Hernia

2014-07-23 21:08:57 | BioPortfolio

Summary

The objective of the study is reduction of the incidence of the most frequent complication of abdominal surgery, incisional hernia. In this multi center double-blinded prospective randomized controlled trial, in which a new suture technique using small bites is compared with the traditionally applied large bites (mass closure) technique for midline incisions.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment

Conditions

Hernia

Intervention

Closure of the abdominal wall after midline incisions

Location

Erasmus Medical Center
Rotterdam
Zuid-Holland
Netherlands
3000CA

Status

Recruiting

Source

Erasmus Medical Center

Results (where available)

View Results

Links

Published on BioPortfolio: 2014-07-23T21:08:57-0400

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Intraoperative Biomechanics in Complex Abdominal Wall Reconstruction

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Prevention of Incisional Hernia With an Onlay Mesh Visible on MRI

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PubMed Articles [3532 Associated PubMed Articles listed on BioPortfolio]

Polydioxanone Versus Polypropylene Closure For Midline Abdominal Incisions.

Midline laparotomy is the most common technique of abdominal incisions because it is simple, provides adequate exposure to all four quadrants, and is rapid to open. A major problem after midline lapar...

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Meta-analysis of randomised trials comparing the use of prophylactic mesh to standard midline closure in the reduction of incisional herniae.

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The Best of Abdominal Wall Reconstruction.

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Medical and Biotech [MESH] Definitions

A protrusion of abdominal structures through the retaining ABDOMINAL WALL. It involves two parts: an opening in the abdominal wall, and a hernia sac consisting of PERITONEUM and abdominal contents. Abdominal hernias include groin hernia (HERNIA, FEMORAL; HERNIA, INGUINAL) and VENTRAL HERNIA.

A hernia caused by weakness of the anterior ABDOMINAL WALL due to midline defects, previous incisions, or increased intra-abdominal pressure. Ventral hernias include UMBILICAL HERNIA, incisional, epigastric, and spigelian hernias.

A HERNIA due to an imperfect closure or weakness of the umbilical ring. It appears as a skin-covered protrusion at the UMBILICUS during crying, coughing, or straining. The hernia generally consists of OMENTUM or SMALL INTESTINE. The vast majority of umbilical hernias are congenital but can be acquired due to severe abdominal distention.

A groin hernia occurring inferior to the inguinal ligament and medial to the FEMORAL VEIN and FEMORAL ARTERY. The femoral hernia sac has a small neck but may enlarge considerably when it enters the subcutaneous tissue of the thigh. It is caused by defects in the ABDOMINAL WALL.

Protrusion of tissue, structure, or part of an organ through the muscular tissue or the membrane by which it is normally contained. Hernia may involve tissues such as the ABDOMINAL WALL or the respiratory DIAPHRAGM. Hernias may be internal, external, congenital, or acquired.

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