Clinical Trial: Observational Study to Evaluate Ventral Incisional Hernia Repair Using a Biologic Mesh (Cook Biodesign)

Study Status: Recruiting
Recruit Status: Recruiting
Study Type: Observational

Official Title: Observational Study to Evaluate Single-Staged Open Complex Ventral Incisional Hernia Repair Using a Biologic Mesh (Cook Biodesign) for Midline Fascial Closure Reinforcemen

Brief Summary: The purpose of this study is to evaluate the efficacy of the Cook Biodesign mesh for the repair of complex ventral incisional hernias. Using materials to reinforce tissue defects is indicated as standard of care for this type of surgery. The Cook Biodesign mesh is currently FDA-approved for implantation to reinforce soft tissues where weakness exists, but the investigators would like to collect additional follow-up information to continue to assess the durability of the repair after placement of the hernia mesh. This follow-up would include the collection of information about complications such as infections and seromas (collections of fluid around the surgery site), as well as hernia recurrence and quality of life questionnaires. Patients who qualify to take part in this study have been diagnosed with a ventral incisional hernia and will have been scheduled for a surgical hernia repair. This surgery will be an "open" surgical procedure and reinforcing your tissue with material is indicated for this type of hernia repair.

Detailed Summary:

Prior to their scheduled surgery, the patient will be consented and will complete a brief quality of life survey. They will also be asked some questions about their medical history that pertain to the study, such as current/ past abdominal infections and surgeries, history of the hernia, comorbidities, etc.

During the surgery, some key data points will be recorded by the research coordinator, such as time of surgery, type of case, size of mesh used, size of the hernia defect, technique used, type of sutures used, etc. The mesh will be placed either retrorectus or intraperitoneally, after the component separation is complete. The mesh will not be used as a "bridge," and the fascial layers will be closed completely.

The research staff may photograph the repair of an enrolled patient's hernia during their treatment and will supply a copy of the photograph to Cook Medical, Inc. if the sponsor's review is requested. Any photograph taken for research purposes will be kept in a password-protected, encrypted database separate from any patient identifying information.


Sponsor: Icahn School of Medicine at Mount Sinai

Current Primary Outcome: Hernia Recurrence [ Time Frame: up to 2 years ]

Assessment of efficacy of the device and repair


Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Infections [ Time Frame: up to 2 years ]
    Infections related to the surgical site or implantation of the device
  • Seromas [ Time Frame: up to 2 years ]
  • Rehospitalization [ Time Frame: up to 2 years ]
  • Re-operation [ Time Frame: up to 2 years ]
  • Mesh Removal [ Time Frame: up to 2 years ]


Original Secondary Outcome: Same as current

Information By: Icahn School of Medicine at Mount Sinai

Dates:
Date Received: April 30, 2014
Date Started: April 2014
Date Completion: April 2022
Last Updated: November 16, 2016
Last Verified: November 2016