K43.2
Conditions
Interventions
Group 1: Observational study
Registry-based, multicenter observational study (Herniamed Registry) of primary elective lateral incisional hernia repairs (=16 yrs). No experimental intervention
systematic data capture at these time points:
Preoperative: Age, sex, BMI, ASA, defect size (W1–W3), preoperative pain, risk factors (e.g., COPD, diabetes, smoking, anticoagulation), planned approach
open sublay/onlay/IPOM
suture), intraoperative complications.
Postoperative (= 30 days): General/postoperative complications, complication-related reoperations.
Follow-up (1 year
routine also at 5/10 years): Questionnaires to patient and GP on recurrence suspicion/confirmation, pain at rest, pain on exertion, and chronic pain requiring treatment
clinical evaluation at the center if indicated.
Sponsors
Bundeswehrzentralkrankenhaus Koblenz, Klinik für Allgemein-, Viszeral- und Thoraxchirurgie
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Lateral hernia (L1-4 according to EHS)
Exclusion criteria
Exclusion criteria: Emergency surgery / acute incarceration
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recurrence rate English – Outcomes (WHAT / WHEN / HOW) Primary outcome WHAT: Recurrence of lateral incisional hernia. WHEN: 1 year after surgery (routine; additional follow-ups planned at 5/10 years). HOW: Mailed questionnaires to patient and general practitioner (suspicion/confirmation of recurrence); verification by clinical examination at the center and/or imaging (e.g., ultrasound) and by operative report in case of reoperation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain, intra- and postoperative complications Secondary outcomes Perioperative complications (overall, intraoperative, postoperative) WHEN: Within 30 days after surgery. HOW: Prospective registry entry by surgeon/clinician using predefined complication categories. Complication-related reoperations WHEN: Within 30 days after surgery. HOW: Registry entry/operative report. Pain outcomes: pain at rest, pain on exertion, chronic pain requiring treatment WHEN: 1 year after surgery (routine also at 5/10 years). HOW: Patient and GP questionnaires (presence yes/no; clinical assessment if indicated). | — |
Countries
Germany
Contacts
Public ContactArnulf Willms
Bundeswehrzentralkrankenhaus Koblenz, Klinik für Allgemein-, Viszeral- und Thoraxchirurgie
Outcome results
None listed