Incisional Hernia
Conditions
Brief summary
Prophylactic mesh reinforcement of the abdominal wall at the site of temporary ileostomy closure is effective in preventing postoperative incisional hernia. This prospective, multicenter, observational study will evaluate performance of Phasix biosynthetic mesh when used to reinforce fascial closure .
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects will be informed about the study, and will have read; understood and signed the informed consent * Subjects of either gender that are at least the age of 18 years * Subjects will be undergoing ileostomy reversal with retromuscular placement technique of the Phasix biosynthetic mesh reinforcement
Exclusion criteria
* Subjects who, in the surgeon's opinion, would have a difficult time comprehending or complying with the requirements of the study * Subjects with parastomal hernia or midline incisional hernia * Subjects who required midline laparotomy during ileostomy reversal
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incisional hernia rate | at 24 months | CT scan or Ultrasound as imaging to detect incisional hernia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Early and Long-term Complication Rates | after surgery to 24 months | Clavien-Dindo classification |
| Postoperative pain | after surgery to 24 months | Visual analogue scales (VAS) Range: 1-100. Higher score correlates with more pain |
| Quality of life by Carolinas Comfort Scale (CCS) and Euro-Qol 5D-5L questionnaires | after surgery to 24 months | CCS - Range: 0-115. Higher score correlates with worse outcome |
| Budget Impact Analysis | after surgery to 24 months | Healthcare Cost Analysis including direct costs (fixed and variable) |
Countries
Italy