Ventral Hernia
Conditions
Brief summary
This randomized trial aimed to assess the efficacy of preservation of Scarpa's fascia during hernio-abdominoplasty in reducing the volume of postoperative drainage, accelerating time to drain removal and recovery, and reducing complication rate.
Interventions
Scarpa's fascia is preserved during hernio-abdominoplasty
Scarpa's fascia is removed during hernio-abdominoplasty
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with complex ventral hernia that are fit for surgery (ASA class I and II) (Saklad, 1941). * Patients with class III, IV according to Pitanguy's classification of abdominal deformities (Pitanguy, 1995).
Exclusion criteria
1. Patient with ASA class III, IV, and V. 2. Morbid obesity (BMI \> 40). 3. Recurrent incisional hernias after mesh hernioplasty. 4. Strangulated hernias. 5. Isolated small paraumbilical hernias. 6. Patients with abdominal organomegaly and/or ascites. 7. Patients with coagulopathy, 8. Patients who are heavy smokers, patients with pulmonary problems, and patients with uncontrolled diabetes.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Volume of postoperative drainage | Two weeks after surgery | The volume of fluid drained through suction drains per 24 hours |