Parastomal Hernia After Mesenteric Molding Suturing in Colostomy
Official title: A Prospective Randomized Controlled Trial Comparing the Incidence of Parastomal Hernia After Mesenteric Molding Suturing and Non-molding Suturing in Colostomy Surgery
Run by The First Affiliated Hospital with Nanjing Medical University · NCT06674187 · Data updated 2026-11-12
This study tests whether mesenteric molding suturing reduces parastomal hernias after colostomy compared with non-molding suturing in adults.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 234 (estimated) |
| Sponsor | The First Affiliated Hospital with Nanjing Medical University Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Nanjing, Jiangsu) |
| Status | Recruiting |
| Started | December 1, 2024 |
| Main results expected | December 31, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | July 28, 2026 |
| Trial ID | NCT06674187 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 and older undergoing colostomy who can consent and are expected to survive more than one year without major organ dysfunction.
✕Probably not a fit
Patients with recent major abdominal surgery, pregnancy, major immunosuppression, or conditions preventing informed consent may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study compares two suturing techniques used during colostomy surgery to see if mesenteric molding suturing lowers the rate of parastomal hernia. Eligible adults undergoing colostomy will be assigned to regular mesenteric molding suturing or a non-molding technique. The study focuses on postoperative development of parastomal hernia and may inform best surgical practice to prevent this complication. Outcomes will be measured over a defined follow-up period to assess incidence and safety. Conducted at the First Affiliated Hospital with Nanjing Medical University, the trial aims to clarify whether a technical modification at the time of stoma creation can reduce PSH risk.
Why it matters
Potential benefit: If successful, this approach could reduce the risk of parastomal hernia and related complications for patients undergoing colostomy.
How similar studies have gone: Previous research on techniques to prevent parastomal hernia has shown variable results; this study evaluates a specific suturing modification that is not yet proven in this context.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 18 years or older. * Patients requiring colostomy surgery. * Ability to provide written informed consent. * Expected survival of more than one year. * No severe comorbidities such as heart, lung, liver, or kidney dysfunction. Exclusion Criteria: * Pregnant or breastfeeding women. * History of major abdominal surgery that could affect the development of PSH. * Mental illness that impairs understanding of the study content and ability to give informed consent. * Patients receiving immunosuppressive therapy or chemotherapy.
Where it's running
-
First Affiliated Hospital of Nanjing Medical University
Nanjing, Jiangsu, China Recruiting
Study contacts
- Study coordinator: Junwei Sun, M.D
- Email: pepsitjw@njmu.edu.cn
- Phone: +862568306026
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Parastomal Hernia After Colorectal Cancer Surgery: Do Radiology Findings Match Quality of Life
We’re testing how often parastomal hernias appear and change on CT scans after colorectal cancer surgery with a permanent end colostomy, and whether these findings relate to patients’ quality of life.
-
Risk factors for mesh infection after abdominal wall reconstruction
This study tests which factors put adults at risk for mesh infection after abdominal wall reconstruction using different mesh types.
-
Laparoscopic approach to repair parastomal hernias
This study is testing a new minimally invasive surgery to fix parastomal hernias in patients to see if it works better and has fewer complications than the traditional method.
-
Repairing parastomal hernias using endoscopic techniques
This study is testing a new way to fix parastomal hernias using special techniques and tools to see if it helps patients recover better.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.