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

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. Identifier: NCT01776775
Recruitment Status : Withdrawn (due to lack of finace)
First Posted : January 28, 2013
Last Update Posted : August 16, 2016
Information provided by (Responsible Party):
Mette Willaume Christoffersen, Hvidovre University Hospital

Brief Summary:
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 or disease Intervention/treatment Phase
Incisional Hernia Device: Abdominal binder Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 0 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (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.
Study Start Date : January 2016
Actual Primary Completion Date : July 2016
Actual Study Completion Date : August 2016

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Hernia

Arm Intervention/treatment
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

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

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

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

  2. 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

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

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Older Adult)
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

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 identifier (NCT number): NCT01776775

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

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Responsible Party: Mette Willaume Christoffersen, M.D, Hvidovre University Hospital Identifier: NCT01776775    
Other Study ID Numbers: INSAB
First Posted: January 28, 2013    Key Record Dates
Last Update Posted: August 16, 2016
Last Verified: August 2016
Additional relevant MeSH terms:
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Incisional Hernia
Pathological Conditions, Anatomical
Postoperative Complications
Pathologic Processes