The Impact of Abdominal Wall Reconstruction on Abdominal Wall Tension and Intra-Abdominal Pressure

Launched by THE CLEVELAND CLINIC · Aug 25, 2024

Keywords

ClinConnect Summary

This clinical trial is studying how surgery for certain types of hernias—specifically, incisional or parastomal hernias—affects the tension in the abdominal wall and the pressure inside the abdomen. The researchers are looking at patients who have a large hernia (over 20 cm) and will be undergoing a specific type of surgery that involves placing a synthetic mesh in the abdomen. By using special tools to measure the abdominal wall tension and intra-abdominal pressure before and after the surgery, the team hopes to understand how these factors change and what that means for recovery.

To participate in this study, you need to be at least 18 years old and have a significant hernia that meets the criteria mentioned. Unfortunately, pregnant individuals or those who need someone else to help them give consent cannot join. If you decide to take part, you can expect to have your abdominal wall tension and pressure measured during the course of your treatment, which could provide valuable information for future patients undergoing similar surgeries. The trial is currently looking for participants, and all genders are welcome to join.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients ≥ 18 years of age
• • Incisional or parastomal hernia with \>20 cm fascial defect on pre-operative imaging
• • Anticipated open bilateral transversus abdominis release with retro-muscular synthetic mesh placement
• Exclusion Criteria:
• • Pregnant patients
• • Require a Legally Authorized Representative (LAR) to sign the informed consent form