TerminatedNot Applicable

Prophylactic Mesh Implantation in Patients With Peritonitis for the Prevention of Incisional Hernia

Stopped: Recruitment problems due to very restricted inclusion criteria

Switzerland5 participantsStarted 2013-03

Plain-language summary

In patients undergoing laparotomy, the incidence of abdominal wall related complications such as incisional hernia is very high. In particular in patients with peritonitis undergoing laparotomy the incidence of incisional hernia is up to 54.3%. Furthermore, these patients are at great risk for development of postoperative fascial dehiscence. The gold standard of abdominal wall closure is a running slowly absorbable suture irrespective of the presence of peritonitis. Implantation of an intraperitoneal mesh potentially reduces the incidence of incisional hernia. In a series of high risk patients in which we implanted non-absorbable intraperitoneal mesh prophylactically we reduced the incidence of incisional hernia down to 3.2%.

Who can participate

Age range18 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Patients with clinical signs of peritonitis * Emergency laparotomy or laparoscopy with conversion to laparotomy * Patients \> 18 years * Written informed consent Exclusion Criteria * Previous implanted mesh * Incisional hernia present * Small bowel obstruction without bowel resection * Surgery for cholecystitis * Inflammatory bowel disease (Crohn's disease, Ulcerative colitis) * Polytrauma patients * Pregnant women * Women younger than 45 years

What they're measuring

Number of patients with incisional hernia

Timeframe: 54 months

Trial details

NCT IDNCT01802164

SponsorInsel Gruppe AG, University Hospital Bern

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2015-04

View on ClinicalTrials.gov More Peritonitis trials