Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT03808584

Impact of Core Muscle Training on Incisional Hernia and Pain After Abdominal Surgery

Led by Insel Gruppe AG, University Hospital Bern · Updated on 2026-05-05

588

Participants Needed

5

Research Sites

606 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The current practice to avoid incisional hernia, one of the most frequent complications following abdominal surgery, is to minimize core muscle activity in the postoperative phase. However, there is no evidence to support the association of core muscle activity and increased incidence of incisional hernia. On the contrary, it is likely that reduced physical activity could lead to physical deconditioning, chronic postsurgical pain (CPSP), and sarcopenia. The investigators will conduct a prospective multicentric randomized clinical trial to compare standard of care to core muscle exercises targeting the abdominal muscles immediately postsurgery. The principle hypothesis is that neither specific exercises of core muscles before and after surgery nor physical restriction alter the incidence of incisional hernias. Secondly the impact of postoperative rehabilitation on CPSP and sarcopenia will be assessed.

CONDITIONS

Official Title

Impact of Core Muscle Training on Incisional Hernia and Pain After Abdominal Surgery

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Informed consent documented by signature
  • Age greater than 18 years
  • Capable of judgment
  • Undergoing elective or emergency abdominal surgery
  • Surgery by laparoscopic or open method with midline or transverse incision
  • (At University Hospital Lausanne) Undergoing elective open abdominal surgery with midline or transverse incision
Not Eligible

You will not qualify if you...

  • Unable to follow study procedures due to language problems, psychological disorders, dementia, or related issues
  • Investigator, family members, employees, or other dependent persons enrolled
  • Neuromuscular diseases such as myasthenia gravis or being wheelchair-bound
  • Preexisting chronic pain disorder or current chronic opioid or pain-modulating medication use
  • End-stage disease
  • Preexisting abdominal wall mesh except for inguinal mesh after hernia repair

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 5 locations

1

BundeswehrZentralkrankenhaus

Koblenz, Germany, 56070

Actively Recruiting

2

Kantonsspital Olten

Olten, Canton of Solothurn, Switzerland, 4600

Terminated

3

University Hospital of Bern, Inselspital

Bern, Switzerland, 3010

Actively Recruiting

4

CHUV, University Hospital of Lausanne

Lausanne, Switzerland, 1010

Actively Recruiting

5

Bürgerspital Solothurn

Solothurn, Switzerland, 4500

Withdrawn

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Research Team

G

Guido Beldi, MD

CONTACT

S

Stéphanie Perrodin, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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