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The Effect of Postoperative Abdominal Binder to Improve Outcomes After Incisional Hernia Repair (INSAB)

This study has been withdrawn prior to enrollment.
(due to lack of finace)
Information provided by (Responsible Party):
Mette Willaume Christoffersen, Hvidovre University Hospital Identifier:
First received: January 24, 2013
Last updated: August 15, 2016
Last verified: August 2016
Postoperative seroma formation is one of the most common complications after ventral hernia repair with mesh. Although some seromas may not have clinical impact postoperative seroma formation often causes pain and discomfort and may even compromise wound healing. Abdominal binders (also called trusses, girdle, ostomy belt, longuette or abdominal belt) (AB) are commonly used in abdominal and plastic surgery to prevent seroma formation and diminish pain and discomfort after operation. The primary aim of the present study is to investigate the effect of postoperative abdominal binders after laparoscopic incisional hernia repair on postoperative pain, discomfort and quality of life. Secondary, we register seroma formation. A randomized, controlled, investigator-blinded study supplemented with blinded statistical analysis. We include 60 (2x30) incisional hernia repairs. Patients are randomized either to abdominal binder or no abdominal binder (controls). The abdominal binder is worn from immediately after the operation and continuously for 7 days and nights. All patients have a standardized operation with standardized intra- and postoperative medication regimen. Endpoints measurements are clinically detectable seroma formation scored with seroma classification system buý S. Morales-Conde, pain scored with self-registrations with VAS, and quality of life scored with EQ-5D, recurrence and other complications are also registered. Patients are followed until 90 days after the operation.

Condition Intervention
Incisional Hernia
Device: Abdominal binder

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Investigator)
Primary Purpose: Prevention
Official Title: The Effect of Postoperative Abdominal Binder to Reduce Seroma Formation and Improve Early Clinical Outcome After Incisional Hernia Repair.

Resource links provided by NLM:

Further study details as provided by Hvidovre University Hospital:

Primary Outcome Measures:
  • seroma formation [ Time Frame: 30 days postoperatively ]
    clinically detectable seroma formation

Secondary Outcome Measures:
  • postoperative pain [ Time Frame: pain during the postoperative days 1-3, 7, and 30. ]
    Measured with self-registration VAS scales

Other Outcome Measures:
  • Quality of life [ Time Frame: on day 30 and 90 postoperatively ]
    measured with EQ-5D

  • postoperative complications, readmittance, and need for general practitioner visits [ Time Frame: 30 days postoperatively ]
    30-day complications will be registered by patient interview and by cross-checking patient files and the Danish national patient registry

  • Cosmetic result [ Time Frame: 3 months postoperatively ]
    measured with verbal rating scale

Enrollment: 0
Study Start Date: January 2016
Study Completion Date: August 2016
Primary Completion Date: July 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: abdominal binder
use of postoperative abdominal binder 30 days after the hernia repair
Device: Abdominal binder
The abdominal binder is worn from immediately after the operation and continuously for 7 days and nights. The belts are standard abdominal binders (ostomy belts) from "ETO garments©" with standard height of 22 cm. and five different sizes in width (S, M, L, XL, XXL- depending on waist measure). A fitting will be done for all included patients before the operation by waist measurement according to the recommendation from the company (see below). When applied, the patients are advised to apply the belt in a lying position.
Other Names:
  • ETO garments©
  • ostomy belt
  • trusses
  • girdle
  • longuette
  • abdominal belt
No Intervention: No abdominal binder
No intervention


Ages Eligible for Study:   18 Years to 80 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • elective, primary and recurrent laparoscopic and open incisional hernia repair hernia with mesh reinforcement
  • fascia defects 6-20 cm measured preoperatively by the surgeon at the out-patient clinic
  • patients between 18-80 years

Exclusion Criteria:

  • expected low compliance (language problems, dementia and abuse etc.)
  • fascia defects >20 cm measured at the preoperative clinical examination.
  • acute operation
  • decompensated liver cirrhosis (Child-Pugh 3-4)
  • patients with a stoma
  • if a secondary operation is performed during the hernia repair procedure.
  • if a patient withdraws his inclusion consent
  Contacts and Locations
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Please refer to this study by its identifier: NCT01776775

Hvidovre University Hospital
Hvidovre, Denmark, 2650
Sponsors and Collaborators
Hvidovre University Hospital
Study Director: Thue Bisgaard, DMSc Hvidovre University Hospital
  More Information

Responsible Party: Mette Willaume Christoffersen, M.D, Hvidovre University Hospital Identifier: NCT01776775     History of Changes
Other Study ID Numbers: INSAB
Study First Received: January 24, 2013
Last Updated: August 15, 2016

Additional relevant MeSH terms:
Incisional Hernia
Pathological Conditions, Anatomical
Postoperative Complications
Pathologic Processes processed this record on April 28, 2017