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Incisional Hernia After Midline Versus Transverse Extraction Incision in Laparoscopic Colectomy

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT01247389
Recruitment Status : Completed
First Posted : November 24, 2010
Last Update Posted : August 15, 2018
Sponsor:
Information provided by (Responsible Party):
Dr. Liane S. Feldman, McGill University Health Centre/Research Institute of the McGill University Health Centre

Brief Summary:
Incisional hernia (IH) is a common complication of midline laparotomy. Despite the hope that laparoscopic colon resection would result in fewer incisional hernias, prospective studies demonstrate a similar incidence to open surgery. Observational studies suggest that the rate of incisional hernia after laparoscopic colon resection may be reduced with the use of a transverse compared to a midline extraction incision. However, no randomized trails are available, and a midline extraction incision for hemicolectomy remains the standard current approach. The investigators hypothesize that the use of a lower abdominal transverse muscle splitting incision for specimen extraction in laparoscopic colon surgery will result in fewer incisional hernias compared to a midline periumbilical extraction incision.

Condition or disease Intervention/treatment Phase
Laparoscopic Colectomy Procedure: laparoscopic colectomy Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 165 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Incisional Hernia After Midline Versus Transverse Extraction Incision in Laparoscopic Colectomy: A Pilot Randomized Trial
Study Start Date : July 2011
Actual Primary Completion Date : December 2016
Actual Study Completion Date : December 2016

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Hernia

Arm Intervention/treatment
Active Comparator: midline incision Procedure: laparoscopic colectomy
Laparoscopic segmental colectomy with planned abdominal extraction site

Active Comparator: transverse incision Procedure: laparoscopic colectomy
Laparoscopic segmental colectomy with planned abdominal extraction site




Primary Outcome Measures :
  1. Incisional hernia [ Time Frame: one year ]

Secondary Outcome Measures :
  1. surgical site infection [ Time Frame: one month ]
  2. body image [ Time Frame: one year ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • scheduled laparoscopic partial colectomy where an abdominal extraction incision is planned

Exclusion Criteria:

  • previous laparotomy
  • rectal resection or anastamosis
  • planned pfannenstiel extraction incision
  • single site surgery
  • planned or performed stoma
  • BMI >35 kg/m2
  • ASA 4-5

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01247389


Locations
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Canada, Quebec
Montreal General Hospital
Montreal, Quebec, Canada, H3G 1A4
Sponsors and Collaborators
McGill University Health Centre/Research Institute of the McGill University Health Centre
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Responsible Party: Dr. Liane S. Feldman, MD, McGill University Health Centre/Research Institute of the McGill University Health Centre
ClinicalTrials.gov Identifier: NCT01247389    
Other Study ID Numbers: 10-183-SDR
First Posted: November 24, 2010    Key Record Dates
Last Update Posted: August 15, 2018
Last Verified: August 2018
Keywords provided by Dr. Liane S. Feldman, McGill University Health Centre/Research Institute of the McGill University Health Centre:
laparoscopy
colon resection
incisional hernia
Additional relevant MeSH terms:
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Hernia
Incisional Hernia
Pathological Conditions, Anatomical
Postoperative Complications
Pathologic Processes