LACH-Trial: LAparoscopic Correction of Hernia

The Effect of Mesh Fixation Technique on Postoperative Pain in Laparoscopic Correction of Incisional and Ventral Abdominal Wall Hernias.

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT00537927

Acronym

LACH

Enrollment

215

Registered

2007-10-02

Start date

2005-08-31

Completion date

2009-01-31

Last updated

2009-02-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Incisional Hernia, Ventral Hernia

Keywords

laparoscopic correction, ventral and incisional hernia, mesh fixation, postoperative pain

Brief summary

Method of fixation of the mesh in laparoscopic incisional / ventral hernia repair might influence the degree of postoperative pain. The study hypothesis is that there is no difference in postoperative pain between different methods to fix the mesh in laparoscopic incisional / ventral hernia repair.

Detailed description

One of the complications in laparoscopic incisional / ventral hernia repair is postoperative pain. Method of fixation of the mesh in laparoscopic incisional / ventral hernia repair might influence the degree of this postoperative pain. Fixation of the mesh might also influence other outcome parameters such as return to preoperative activities, costs and recurrence rate. The study hypothesis is that there is no difference in postoperative pain when comparing three commonly used mesh fixation techniques in laparoscopic incisional / ventral hernia repair.

Interventions

PROCEDURElaparoscopic correction of hernia with mesh

Correction of hernia with mesh and fixation of mesh using one of the arms.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

SINGLE (Subject)

Eligibility

Sex/Gender

ALL

Age

18 Years to 80 Years

Healthy volunteers

Inclusion criteria

* Non-acute incisional hernia of the abdominal wall or ventral hernia of the abdominal wall * Informed consent * Elective surgery

Exclusion criteria

* \< 18 years and \> 80 years * Prednison \> 15 mg/24hr, started more than 2 weeks prior to surgery * Chronical cough (severe COPD etc) * Ascites * Peritoneal dialysis * Current abdominal infection * Complete loss of abdominal domain due to hernia (diameter more than 10 cm?) * Re-laparoscopic correction of ventral hernia

Design outcomes

Primary

Measure	Time frame
Assessment of postoperative pain	one year

Secondary

Measure	Time frame
Quality of life	one year
Overall satisfaction	one year
Postoperative stay	one month
Per- and postoperative morbidity	one month
Recurrence	Three years

Countries

Netherlands

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026