Using mesh to prevent hernias after aortic aneurysm surgery
Prophylactic Mesh Reinforcement After Open Aortic Aneurysm Repair: a Retrospective Study
This study is testing if using a special mesh during surgery can help prevent hernias in patients who have had surgery for an aortic aneurysm.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 20 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Hôpital Fribourgeois Academic / other |
| Locations | 1 site (Villars-sur-Glâne) |
| Trial ID | NCT06762561 on ClinicalTrials.gov |
What this trial studies
This observational study evaluates the effectiveness of prophylactic mesh reinforcement during abdominal wall closure in preventing incisional hernias in patients who have undergone open abdominal aortic aneurysm repair. Researchers will compare outcomes of patients who received mesh reinforcement with existing literature on non-mesh cases to assess differences in hernia incidence and postoperative complications. Participants will undergo clinical follow-ups and abdominal ultrasounds, as well as complete quality-of-life questionnaires to gather comprehensive data on their recovery and health status.
Who should consider this trial
Good fit: Ideal candidates are adult patients aged 18 and older who have undergone open abdominal aortic aneurysm repair with prophylactic mesh reinforcement between January 2019 and January 2024.
Not a fit: Patients with incomplete medical records or those who required re-laparotomy involving the prophylactic mesh may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly reduce the incidence of incisional hernias in patients undergoing aortic aneurysm repair, improving postoperative outcomes.
How similar studies have performed: While the specific approach of this study may be novel, similar studies have indicated that mesh reinforcement can be beneficial in reducing hernia rates in various surgical contexts.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult patients (≥18 years old) who underwent open abdominal aortic aneurysm (AAA) repair with prophylactic retromuscular mesh reinforcement between January 2019 and January 2024 * Availability of complete medical records, including preoperative history, surgical details, and postoperative follow-up data * Attendance at a clinical follow-up examination at least one year after the procedure * General informed consent signed for the use of medical data for research purposes Exclusion Criteria: * Patients with incomplete or missing medical records, including preoperative, intraoperative, or follow-up data * Patients who required a re-laparotomy involving incision or suture of the prophylactic mesh and subsequently developed an incisional hernia. * Patients who did not attend the required clinical follow-up examination at least one year postoperatively.
Where this trial is running
Villars-sur-Glâne
- HFR Hopitaux Fribourgeois — Villars-sur-Glâne, Switzerland (Recruiting)
Study contacts
- Study coordinator: Raffaella Sguinzi, PhD
- Email: RaffaellaMaria.Sguinzi@h-fr.ch
- Phone: 0041263062584
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.