Umbilical Hernias, Ventral Hernias
Conditions
Keywords
Umbilical and small ventral hernias less than 3cm diameter
Brief summary
For small (2-3cm) ventral and umbilical hernias the discussion for primary suture repair or the use of mesh continues. About 5 years ago the Ventralex patch was introduced, which combines a layer of PTFE mesh with a small polypropylene mesh and includes a circular memory ring. Despite the elegance of using this patch, recent experience showed several drawbacks both in design and efficacy (3). With the recent development of the Proceed Ventral Patch (PVP), new elements have been introduced to overcome some of these issues. The aim of this study is to evaluate the efficacy of clinical placement of the PVP in the intra-abdominal position in the treatment of small ventral hernias.
Interventions
Placement of a Proceed Ventral Patch for umbilical and small ventral hernias less than 3cm diameter with and without laparoscopic control
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patient * Written informed consent * Umbilical, primary ventral hernias smaller than 3cm diameter
Exclusion criteria
* Hernias larger than 3cm * Recurrence * Children * Emergency cases * Incisional hernias
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of adequately placed patches | At T 0 days |
Secondary
| Measure | Time frame |
|---|---|
| Complication ratio | At 1 year |
| Recurrence rate at 1 year | At 1 year |
| Reasons for inadequate positioning | At T 0 days |
| Number of repositioning necessary | At T 0 days |
| Pre- and postoperative pain | At T 0 day, T 30 days and T 1 year |
| Number of patients needed a repositioning of the patch | At T 0 days |
| Perioperative morbidity rate | Within 30 days |
Countries
Belgium