Hernia reduction following laparotomy using small stitch abdominal wall closure with and without mesh augmentation (the HULC trial): study protocol for a randomized controlled trial

Incisional hernias are among the most frequent complications following abdominal surgery and cause substantial morbidity, impaired health-related quality of life and costs. Despite improvements in abdominal wall closure techniques, the risk for developing an incisional hernia is reported to be betwe...

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Main Authors: Heger, Patrick (Author) , Feißt, Manuel (Author) , Krisam, Johannes (Author) , Klose, Christina (Author) , Dörr-Harim, Colette (Author) , Tenckhoff, Solveig (Author) , Büchler, Markus W. (Author) , Diener, Markus K. (Author) , Mihaljevic, André Leopold (Author)
Format: Article (Journal)
Language:English
Published: 16 December 2019
In: Trials
Year: 2019, Volume: 20, Pages: 1-10
ISSN:1468-6694
DOI:10.1186/s13063-019-3921-3
Online Access:Verlag, Volltext: https://doi.org/10.1186/s13063-019-3921-3
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Author Notes:Patrick Heger, Manuel Feißt, Johannes Krisam, Christina Klose, Colette Dörr-Harim, Solveig Tenckhoff, Markus W. Büchler, Markus K. Diener, André L. Mihaljevic

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520 |a Incisional hernias are among the most frequent complications following abdominal surgery and cause substantial morbidity, impaired health-related quality of life and costs. Despite improvements in abdominal wall closure techniques, the risk for developing an incisional hernia is reported to be between 10 and 30% following midline laparotomies. There have been two recent innovations with promising results to reduce hernia risks, namely the small stitches technique and the placement of a prophylactic mesh. So far, these two techniques have not been evaluated in combination. 
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