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AbsorbaTack Evaluation of Postoperative Pain Following Laparoscopic Hernia Repair

This study has been completed.
Information provided by (Responsible Party):
Medtronic - MITG Identifier:
First received: September 8, 2008
Last updated: September 9, 2015
Last verified: September 2015
The objective of this study is to assess pain that occurs following hernia repair that is related to mesh fixation. The study is designed to see if there is any difference in pain after surgery between absorbable and permanent methods of mesh fixation in inguinal and ventral hernia repair.

Condition Intervention Phase
Hernia, Inguinal
Hernia, Ventral
Device: AbsorbaTack
Device: ProTack
Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Evaluation of Postoperative Pain Following Laparoscopic Hernia Repair: A Prospective, Randomized Comparison to Evaluate the Incidence of Post-operative Pain Associated With Absorbable Fixation (AbsorbaTack) vs Conventional Fixation (ProTack) Following Laparoscopic Hernia Repair

Resource links provided by NLM:

Further study details as provided by Medtronic - MITG:

Primary Outcome Measures:
  • Postoperative Pain [ Time Frame: Discharge, Month 1, Month 6, Month 12 ]

    Pain Intensity Numeric Rating Scale (PI-NRS) - change from baseline. Treatments analyzed within inguinal arm and within ventral arm.

    Scale is 0 - 10 with 0 being "no pain" and 10 being "worst pain imaginable".

  • Safety for Laparoscopic Hernia Repair as Measured by Number of Patients Experiencing Device Related Events [ Time Frame: One year ]

Secondary Outcome Measures:
  • Quality of Life [ Time Frame: Pre-op, Month 1, Month 6, 1 year ]

    Quality of life as measured by the SF-12 which is a multipurpose short form survey with 12 questions. The questions were combined, scored, and weighted to create a scale that provide glimpses into physical functioning and overall health-related-quality of life.

    The Physical Composite Score was computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.

  • Hernia Recurrence [ Time Frame: Discharge, 1 Month, 6 Month, 1 year ]

Enrollment: 216
Study Start Date: October 2008
Study Completion Date: November 2012
Primary Completion Date: December 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: A Device: AbsorbaTack
Comparison of different devices for mesh fixation. This intervention arm has absorbable tacks as the method of hernia mesh fixation. Application is during hernia repair and tacks will essentially absorb within the body after 1 year.
Active Comparator: B Device: ProTack
Comparison of different devices for mesh fixation. This intervention is a permanent tack for hernia mesh fixation. Application is during hernia repair and the tacks will remain in the body.


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

Inclusion Criteria:

  • Ability and willingness to provide written informed consent and comply with the schedule of protocol assessments
  • Age > 18 years
  • Subjects undergoing laparoscopic hernia repair with Parietex or Parietex Composite reinforcements depending on indication and fixation of reinforcements with helical tackers (ProTack, Covidien) or absorbable tacks (AbsorbaTack, Covidien) in accordance with recommendations for use

Exclusion Criteria:

  • Pregnancy
  • Patients considered to have greater than reasonable surgical risk associated with general anesthesia and laparoscopic hernia repair
  • Known active infection or any major episode of infection requiring hospitalization or treatment with IV antibiotics or oral antibiotics within 30 days prior to screening
  • History of alcohol or drug abuse within 6 months prior to screening
  • History of chronic pain condition requiring more than 30 days of medical management
  • Use of an additional nonresorbable means of fixation (inguinal)
  • Patients considered not able to comply with the protocol and follow up schedule
  • ASA grade of 4 or above
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00749268

United States, Ohio
University Hospitals at Case Medical Center
Cleveland, Ohio, United States, 44194
United States, South Carolina
Greenville Hospital System
Greenville, South Carolina, United States, 29605
Sponsors and Collaborators
Medtronic - MITG
Principal Investigator: M Rosen Case Medical Center, University Hospitals of Cleveland, Cleveland, OH, USA
  More Information

Responsible Party: Medtronic - MITG Identifier: NCT00749268     History of Changes
Other Study ID Numbers: AS08011
Study First Received: September 8, 2008
Results First Received: October 14, 2013
Last Updated: September 9, 2015

Keywords provided by Medtronic - MITG:

Additional relevant MeSH terms:
Pain, Postoperative
Hernia, Inguinal
Hernia, Ventral
Pathological Conditions, Anatomical
Neurologic Manifestations
Nervous System Diseases
Postoperative Complications
Pathologic Processes
Signs and Symptoms
Hernia, Abdominal processed this record on March 27, 2017