ClinicalTrials.gg
TerminatedNCT00970515EVENTRALAPUpdated Jun 18, 2021

Laparoscopic or Conventional Mesh Repair of Incisional and Umbilical Hernia

An interventional study of Laparoscopic mesh hernia repair and Open anterior approach in Incisional Hernia and Umbilical Hernia, sponsored by Assistance Publique - Hôpitaux de Paris. Terminated at 1 site in France. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2021-06-18.

Sponsored by Assistance Publique - Hôpitaux de Paris · Not applicable, Interventional, and Treatment

Why this study was terminated
lack of recrutment
Phase
Not applicable
Study type
Interventional
Enrollment
98
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

The aim of this study is to compare immediate and long-term (24 months) results of laparoscopic and open mesh repair of incisional and umbilical hernia.

Read the detailed description

The aim of this study is to compare immediate and long-term (24 months) results of laparoscopic and open mesh repair of incisional and umbilical hernia.

Five hundred patients will be included in this randomized, multicentric trial.

Hypotheses are that laparoscopic approach: 1- reduces immediate parietal complications without increasing intra abdominal septic complications 2- is less invasive and also reduces patients' hospital stay and recovery time; 3- has the same efficacy, than open approach.

02

Conditions studied

  • Incisional Hernia
  • Umbilical Hernia

Keywords

  • Laparoscopy
  • Incisional hernia
  • Umbilical hernia
  • Mesh repair
  • Postoperative complications
03

In context

Incisional Hernia

212 studies on the registry are indexed under Incisional Hernia; 58 are open to participants now.

This study's enrollment of 98 is below the median of 110 across 130 interventional studies indexed under Incisional Hernia.

Browse Incisional Hernia studies →

Lead sponsor

Assistance Publique - Hôpitaux de Paris is the lead sponsor of 3,592 studies on the registry; 1,033 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age > 18
  • Incisional or umbilical hernia over 2 cm and less than 6 cm in diameter

Exclusion criteria

Exclusion Criteria:

  • Patients with a complicated incisional (pain, occlusion, cutaneous necrosis), irreductible painless incisional or umbilical hernia will not be considered as a complication
  • Patients with a recurrence of incisional hernia
  • Patients with an incisional or umbilical hernia whose lateral edges are located so that fixation of the mesh (which must extend beyond the 4 to 5 cm) is not possible
  • Pregnant women
  • Patients with therapy
  • Patients with cirrhotic ascites or other signs of hepatic insufficiency (> 35 micromol / l; TP \< 55%) or significant thrombocytopenia (\< 60 000 )
  • Patients with a contra indication for laparoscopy
  • Patients with a \< one year, or whose mobility within two years of treatment will damage proper monitoring
  • Patients unable to understand information about the protocol
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
98 participants (actual)

Study arms

  • Experimental
    Laparoscopic approach

    group A: Laparoscopic approach

    Procedure: Laparoscopic mesh hernia repair

  • Active comparator
    Open approach

    group B: Open anterior approach

    Procedure: Open anterior approach

Interventions

  • ProcedureLaparoscopic mesh hernia repair

    The mesh is intraperitoneal

    Also known as: laparoscpic mesh repair of incisional and umbilical hernia

  • ProcedureOpen anterior approach

    The mesh is placed by an anterior approach. It is placed after incision of the skin over or under the abdominal muscles, or is intraperitoneal

    Also known as: Conventional treatment of incisional and umbilical hernia

06

What researchers measure

Primary outcomes

  1. Parietal postoperative complications: 1- haematoma, 2- abscess, 3- seroma 4- cutaneous necrosis

    Time frame: 2 months

  2. Postoperative intra abdominal complications: peritonitis, occlusion, haemorrhage

    Time frame: 2 months

Secondary outcomes

  1. Postoperative pain: measured by a- Visual Analogic Score (VAS 0-10): 1-number of days with VAS > 5; 2- maximal VAS, and b- duration (days) of morphine use

    Time frame: 2 months

  2. Postoperative fever > 38°5

    Time frame: 2 months

  3. Postoperative ileus

    Time frame: 2 months

  4. Postoperative phlebitis

    Time frame: 2 months

  5. Postoperative pulmonary embolism

    Time frame: 2 months

  6. Postoperative urinary infection

    Time frame: 2 months

  7. Duration of hospital stay

    Time frame: 2 months

  8. Duration of drainage

    Time frame: 2 months

  9. Mesh infection

    Time frame: 24 months

  10. Peritonitis due to intraperitoneal mesh

    Time frame: 24 months

  11. Occlusion due to intra peritoneal mesh

    Time frame: 2 months

  12. Recurrence of incisional or umbilical hernia

    Time frame: 24 months

  13. Trocar site hernia

    Time frame: 24 months

07

Study locations

1 site
  • Hôpital Jean Verdier, department of digestive and general surgery
    Bondy, 93140, France
08

References and documents

Publications

  • Slim K, Vons C. [Inguinal hernia repair: results of randomized clinical trials and meta-analyses]. J Chir (Paris). 2008 Mar-Apr;145(2):122-5. doi: 10.1016/s0021-7697(08)73720-7. French. PubMed 18645551 ↗
  • Vons C. [Laparoscopic treatment of ventral hernias]. J Chir (Paris). 2004 Nov;141(6):366-70. doi: 10.1016/s0021-7697(04)95361-6. No abstract available. French. PubMed 15738845 ↗
  • Proske JM, Vons C. [Laparoscopic treatment of ventral hernias]. J Chir (Paris). 2004 Nov;141(6):360-4. doi: 10.1016/s0021-7697(04)95360-4. French. PubMed 15738844 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 18, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00970515
Responsible party
Sponsor
First posted
Sep 2, 2009
Start date
Nov 2009
Primary completion
Apr 2011
Completion
Apr 2013
Last update
Jun 18, 2021

Study contacts

Corinne Ms Vons, MD
principal investigator · Assistance Publique - Hôpitaux de Paris

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Jun 2021. You cannot join it, but the record below documents what was studied.

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