Mesh Type in Ventral Hernia Repair
Purpose
Ventral hernias are common following abdominal surgery. Currently, there is no equipoise on when synthetic and biologic meshes should be used. Among open ventral hernia repairs, half are repaired using biologic mesh while half are repaired using synthetic mesh. The investigators hypothesize that biologic mesh as opposed to synthetic mesh repair of open ventral hernia repair is associated with decreased risk of major complications one year after surgery.
Condition
- Ventral Hernia
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Patient scheduled for open ventral hernia repair at LBJ General Hospital
Exclusion Criteria
- Active infection - Patient unlikely to survive with the next 2 years based upon surgeon judgment (i.e. metastatic cancer, end-stage cirrhosis) - Patient surgeon would not normally place a prosthetic (e.g. planned second surgery such as ostomy takedown) - Patient unlikely to follow-up (i.e. no phone)
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Active Comparator Synthetic Mesh |
Synthetic mesh (mid-density polypropylene (generic) Bard soft mesh) will be used in open ventral hernia repair |
|
Active Comparator Biologic Mesh |
Biologic mesh (non cross linked porcine acellular dermal matrix: Strattice) will be used in open ventral hernia repair |
|
More Details
- Status
- Completed
- Sponsor
- The University of Texas Health Science Center, Houston