Hernia, Ventral
Conditions
Keywords
Umbilical hernias-Incisional hernias-EMILOS- .
Brief summary
Ventral hernias in the midline of the abdominal wall are one of the most frequent diseases in general and visceral surgery worldwide. The optimal operative technique is still in discussion. The traditional techniques are open sublay or transabdominal intraperitoneal onlay mesh (IPOM) repair. In order to avoid the risks -large trauma to the abdominal wall with pain and infection, lesion of intraabdominal organs - a new hybrid technique - small skin incision, wide endoscopic dissection of the retrorectus space with implantation of a large mesh - was developed (EMILOS -Endoscopic Mini/Less Open Sublay).
Detailed description
Long-term results in 174 patients with a ventral hernia of the abdominal wall after EMILOS (Endoscopic Mini/Less Open Sublay) repair. The worldwide most frequently used surgical techniques to repair ventral abdominal wall hernias are the open sublay operation and the transabdominal IPOM (Intra-Peritoneal Onlay Mesh) technique. Therefore a special questionnaire was developed to send to the patients to evaluate long-term outcome.
Interventions
DEVICEEndoscopic Mini/Less Open Sublay Repair
The traditional techniques are open sublay or transabdominal intraperitoneal onlay mesh (IPOM) repair. In order to avoid the risks -large trauma to the abdominal wall with pain and infection, lesion of intraabdominal organs - a new hybrid technique - small skin incision, wide endoscopic dissection of the retrorectus space with implantation of a large mesh - was developed (EMILOS -Endoscopic Mini/Less Open Sublay).
Sponsors
Diakonie-Klinikum Stuttgart
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients with clinical diagnosis of primary or secondary hernia in the midline of the abdominal wall * Defect size must be between 2 and 10 cm in width associated with a weak abdominal wall(rectus diastasis) * Patient must be suitable for general anesthesia * Patient must have given informed consent * Patient must be able to understand the principles of operation * Patient must agree to be incluuded in a follow-up program and to be documented in Herniamed registry
Exclusion criteria
* Patients below 18 years of age * Patients with a defect size below 2 cm * Patients presenting with loss of domain * Patients not be able to tolerate general anesthesia * Patients presenting with excess skin tissue
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients with Hernia recurrence | three years | prove of hernia defect and hernia sac by questionaire and clinical investigation |
| Number of patients with bulging in the midline of abdominal wall | three years | Bulging without prove of a hernia defect by questionaire and clinical investigation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients suffering from chronic pain | three years | Asking by questionaire if the patient has pain at rest and under stress in the region of the scar resp. the former hernia defect measured by numeric analog scale (NAS) |
| Number of patients complaining about a stiff abdominal wall | three years | Asking by questionaire if the patient has problems to bend down and/or problems to tie shoestrings |
| Number of patients being satisfied with operation | Three years | Asking by questionaire if the patient is satisfied with operation and if he would like to have this operation a second time |
Countries
Germany
Outcome results
None listed