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Effect of Reoperation for Recurrence After Open Umbilical Hernia Repair (UMBI-REC)

This study has been completed.
Information provided by (Responsible Party):
Mette M W Christoffersen, Zealand University Hospital Identifier:
First received: May 25, 2012
Last updated: January 30, 2017
Last verified: January 2017

background Operation for small umbilical hernias is one of the most common surgical procedures, but the best surgical technique, including the choice of suture or mesh remains unknown.

It is well known that using non-absorbable sutures in closure of the abdomen, diminishes the risk of incisional hernias and wound healing problems.It has also been found that the use of resorbable suture in fixation of the mesh in Lichtesteins procedure leads to greater risk of recurrence of the hernia. Furthermore, it has been stated in smaller studies, that the use of the mesh in open operation for a small umbilical hernia has lower risk of recurrence (approx. 1-3%) than sutured repair (10-12 %). However, the scientific literature is deficient, with few patients.

The purpose of this study is to describe reoperation rate of recurrence after small umbilical hernias, depending on choice of sutures in both regular repair and in mesh repair.

Hypothesis: sutured repair with non-absorbable suture has lower recurrence rates than with other types of sutures, whereas mesh repair has even lower recurrence rates in small umbilical hernia repairs.

Umbilical Hernia

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Retrospective
Official Title: Effect of Reoperation for Recurrence After Open Surgery for Small Umbilical Hernia With Sutured Mesh or Plastic Surgery. A National Hernia Database Study.

Resource links provided by NLM:

Further study details as provided by Zealand University Hospital:

Primary Outcome Measures:
  • reoperation as surrogate for recurrence [ Time Frame: 4 years ]
    all patients having hernia recurrence measured as reoperation, cross-checked with National Patient Register

Enrollment: 4847
Study Start Date: January 2007
Study Completion Date: December 2010
Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
non-absorbable suture NAS
having their umbilical hernia repaired with NAS
Long-term-absorbable suture (LAS)
patients having their umbilical hernia repair with LAS
Absorbable sutures (AS)
patients having their umbilical hernia repair with AS
Mesh repair
Patients having umbilical hernia mesh repair

Detailed Description:

National prospective registry study with data from the Danish ventral hernia Database (DVHD) and the National Patient Register (LPR) in patients undergoing open to umbilical or epigastric hernia repair during the period 1 January 2007 to 31 December 2010.

Apart from operator-registered perioperative data from DVHD, operations can be characterized with different types of sutures, choice of mesh and other relevant information, with possible impact on long-term outcome after surgery, including recurrence.

There will be used frequency analyzes and Kaplan Meyer statistics, supplemented by multivariate Cox regression analysis, as well as non-parametric statistics.

Eligibility criteria: OPen mesh or sutured repair for small umbilical hernias from 1th of January 2007 to 31th of December 2010.

Outcome measures: Reoperation as a surrogate for recurrence.


Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Danish patients undergoing umbilical hernia repair, mesh/non-mesh, under 2 cm. in the study period 1. january 2007 to 31. december 2010.

Inclusion Criteria:

  • Mesh or non-mesh umbilical hernia repair hernia defect size max. 2 cm.

Exclusion Criteria:

  • bigger defect than 2 cm. laparoscopic repair
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Please refer to this study by its identifier: NCT01607801

Koege Sygehus
Koege, Denmark, 4700
Sponsors and Collaborators
Zealand University Hospital
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Mette M W Christoffersen, Medical Doctor, Zealand University Hospital Identifier: NCT01607801     History of Changes
Other Study ID Numbers: UMBI-123
Study First Received: May 25, 2012
Last Updated: January 30, 2017

Keywords provided by Zealand University Hospital:
umbilical hernia repair
choice of suture

Additional relevant MeSH terms:
Hernia, Umbilical
Pathological Conditions, Anatomical
Disease Attributes
Pathologic Processes
Infant, Newborn, Diseases
Hernia, Ventral
Hernia, Abdominal processed this record on April 28, 2017