Multicentric Evaluation of UPP, UHS and Ultra Pro Comfort Plug for Inguinal Hernia Surgery Including Quality of Life Evaluation
|ClinicalTrials.gov Identifier: NCT02315209|
Recruitment Status : Unknown
Verified December 2014 by Dr.Andreas Koch MD, FACS, University of Magdeburg.
Recruitment status was: Enrolling by invitation
First Posted : December 11, 2014
Last Update Posted : December 11, 2014
|Condition or disease||Intervention/treatment|
|Inguinal Hernia||Device: UHS, UPP, Comfort Plug|
- In the care of inguinal hernias exists a considerable diversity of methods. Germany is expected to experience a significant shift of service delivery from inpatient to outpatient care within the next few years. As a result of this, the need for quality-controlled procedures in the ambulatory use has emerged.
- A first register phase for open inguinal hernia was designed in 2010 and is now almost finished. After the evaluation of approximately 6,000 patient records, the process is considered to be extremely successful.
- As a central result of this first register phase can already be stated that the integration of 3D meshes in a standardized process proved to be extremely effective in open inguinal hernia. In all of the examined relevant parameters, a quality of care well above the status quo could be exhibited.
- This data quality is unique to the hernia care not only in Germany. In Contrast, the results also achieved considerable international attention. Hence, the working group received the Fruchaud prize for presenting the results of the American Hernia Society 2013. (see Annex, www.americanherniasociety.org)
a. Since this approach has proven successful in the first register phase in every respect, it is now to be continued for another two years in order to develop the basis to establish this concept as widespread (outpatient) standard. The central question will be investigated of whether the outstanding results of register phase 1 will also occur in a wide and distributed application to more centers. If this can be proved, the conditions based on worldwide unique scientific data (methodology and follow-up rates, see below) are created to establish the standard surgical procedure with central integration of 3D meshes (UPP UHS) as gold standard against the Lichtenstein method in the outpatient sector.
- Prospective multicenter observational study of online-based (daily updated) recording of all relevant pre-, peri-and postoperative data, including patient- as well as physician-specific follow up.
- Analysis of the most relevant patient-specific endpoints recurrence, pain and quality of life with a 4, 12 and 52 weeks follow-up and the use of psychometrically validated Carolina Comfort Scale (anonymous and tamper-resistant).
- Significant expansion of the participating centers with a special comparison of the quality of results between newly added centers and centers, that have been proven already.
- Duration: 01/01/2014 - 12/31/2015 with an additional one-year follow-up to 12/31/2016.
|Study Type :||Observational [Patient Registry]|
|Estimated Enrollment :||4000 participants|
|Target Follow-Up Duration:||1 Year|
|Study Start Date :||January 2014|
|Estimated Primary Completion Date :||December 2015|
|Estimated Study Completion Date :||December 2016|
- Device: UHS, UPP, Comfort Plug
only Repairs with 3D Devices (UPP,UHS,Comfort Plug)
- Quality of Life [ Time Frame: 4-12-52 weeks after surgery ]Evaluation with Carolina Comfort Scale
- Postoperative Complications [ Time Frame: 4-12 weeks after surgery ]clinical examination
- pain after Surgery [ Time Frame: 4-12-52 weeks after surgery ]clinical examination, questionnaire, VAS
- Recurrence [ Time Frame: 4-12-52 weeks after surgery ]clinical examination
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02315209
|Principal Investigator:||Andreas Koch, MD, FACS||Institute for Quality Assurance in Operative Medicine|
|Study Chair:||Ralph Lorenz, MD||Institute for Quality Assurance in Operative Medicine|