scholarly journals Author response to: Comment on: Closure of the fascial defect during laparoscopic umbilical hernia repair: a randomized clinical trial

2020 ◽  
Author(s):  
Mette Christoffersen ◽  
Thue Bisgaard
Keyword(s):  
Clinical Trial ◽  
Hernia Repair ◽  
Randomized Clinical Trial ◽  
Umbilical Hernia ◽  
Author Response ◽  
Fascial Defect ◽  
Umbilical Hernia Repair

Closure of the fascial defect during laparoscopic umbilical hernia repair: a randomized clinical trial

2020 ◽  
Vol 107 (3) ◽  
pp. 200-208 ◽  
Author(s):  
M. W. Christoffersen ◽  
M. Westen ◽  
J. Rosenberg ◽  
F. Helgstrand ◽  
T. Bisgaard
Keyword(s):  
Clinical Trial ◽  
Hernia Repair ◽  
Randomized Clinical Trial ◽  
Umbilical Hernia ◽  
Fascial Defect ◽  
Umbilical Hernia Repair

Randomized clinical trial of fibrin sealant versus titanium tacks for mesh fixation in laparoscopic umbilical hernia repair

2011 ◽  
Vol 98 (11) ◽  
pp. 1537-1545 ◽  
Author(s):  
J. R. Eriksen ◽  
T. Bisgaard ◽  
S. Assaadzadeh ◽  
L. Nannestad Jorgensen ◽  
J. Rosenberg
Keyword(s):  
Clinical Trial ◽  
Hernia Repair ◽  
Randomized Clinical Trial ◽  
Fibrin Sealant ◽  
Umbilical Hernia ◽  
Mesh Fixation ◽  
Umbilical Hernia Repair

Percutaneous ultrasound-guided vs. intraoperative rectus sheath block for pediatric umbilical hernia repair: A randomized clinical trial

2017 ◽  
Vol 52 (6) ◽  
pp. 901-906 ◽  
Author(s):  
Cristen N. Litz ◽  
Sandra M. Farach ◽  
Allison M. Fernandez ◽  
Richard Elliott ◽  
Jenny Dolan ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Hernia Repair ◽  
Randomized Clinical Trial ◽  
Umbilical Hernia ◽  
Rectus Sheath ◽  
Ultrasound Guided ◽  
Umbilical Hernia Repair ◽  
Rectus Sheath Block

scholarly journals SUMMER Trial: mesh versus suture repair in small umbilical hernias in adults—a study protocol for a prospective randomized double-blind multicenter clinical trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
M. Melkemichel ◽  
S. Bringman ◽  
G. Granåsen ◽  
B. Widhe
Keyword(s):  
Clinical Trial ◽  
Hernia Repair ◽  
Umbilical Hernia ◽  
Suture Repair ◽  
Large Sample Size ◽  
Recurrence Rates ◽  
Double Blind ◽  
Umbilical Hernia Repair ◽  
Onlay Mesh

Abstract Background Small umbilical hernia repair is one of the most common surgical performances in general surgery. Yet, a gold standard procedure for the repair is still lacking today. There is an increasing evidence that mesh could be advantageous compared to suture repair in lowering recurrence rates. An additional important question remains with regard to the optimal anatomical positioning of the mesh. We hypothesize that the use of an onlay mesh in small umbilical hernia defects can reduce recurrence rates without increasing the complications compared to a simple suture repair. Methods A prospective, national, multicenter, randomized, double-blind clinical trial comparing a standardized 4 × 4 cm onlay mesh to a conventional suture repair will be conducted. A total of 288 patients with a primary elective umbilical hernia ≤ 2 cm from 7 participating Swedish surgical centers will be enrolled. Intraoperative randomization will take place using a centralized web-based system resulting in total allocation concealment. Stratification will be done by surgical site and by defect size. Trial participants and follow-up clinical surgeons will be blinded to the assigned allocation. The primary outcome assessed will be postoperative recurrence at 1 and 3 years. Secondary outcomes assessed will be postoperative complications at 30 days and pain 1 year after surgery. Discussion Currently, there has been no randomized clinical trial comparing the recurrence rates between an onlay mesh repair and a simple suture repair for small umbilical hernia defects. How to best repair a small umbilical hernia continues to be debated. This trial design should allow for a good assessment of the differences in recurrence rate due to the large sample size and the adequate follow-up. Surgeons’ concerns surrounding optimal anatomical positioning and fear for larger required dissections are understandable. A small onlay mesh may become an easy and safe method of choice to reduce recurrence rates. Guidelines for small umbilical hernia repairs have stressed the need for reliable data to improve treatment recommendations. We can expect that this trial will have a direct implication on small umbilical hernia repair standards. Trial registration ClinicalTrials.gov NCT04231071. Registered on 31 January 2020. SUMMER Trial underwent external peer review as part of the funding process.

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