Utility of a Supraaponeurotic Mesh as Prophylaxis of the Midline Eventration After an Oncological Colorrectal Resection
Eventration
About this trial
This is an interventional prevention trial for Eventration
Eligibility Criteria
Inclusion Criteria:
- Elective surgery for colorectal cancer.
- Surgery by middle laparotomy.
- Informed consent signed by the patient.
- Age > 18 years.
Exclusion Criteria:
- Midline hernia or eventration.
- Presence of mesh in the abdominal wall because of a previous surgery.
- Palliative surgery.
- Synchronous metastases (Stage IV cancer according to TNM).
Sites / Locations
- Hospital Universitario y Politécnico La FeRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Supraaponeurotic mesh
Monofilament
Patients with laparotomy closure by conventional approach of aponeurosis (continuous suture with monofilament of slow absorption), and posterior placement of supraaponeurotic mesh of polyvinylidene fluoride (PVDF) medium / low density and wide pore. The mesh has a longitudinal measurement that exceeds about 3 cm the upper and lower ends of the wound and width should not be less than 10 cm, therefore the mesh selected is DynaMesh®-CICAT longitudinal measure 10x35 cm. The mesh is fixed to the aponeurosis with a crown of loose stitches and points to the midline. A prolene 2/0 non-reabsorbable monofilament suture of cylindrical needle is used. A 10 Fr suction drainage is placed in the supraaponeurotic plane, with an exit to the exterior beyond the edges of the prosthesis. Drainage will be preserved for a minimum of 48 hours after surgery, and will be withdrawn when a debit of less than 50 ml is presented in 24 h.
Patients with conventional closure of the middle laparotomy with approach of aponeurosis in a plane by continuous suture with monofilament of slow absorption. In this study, the suture used in all patients will be poly-4-hydroxybutyrate or Mono-max loop®.