Comparing Quality of Life After Incisional Hernia Repair Using Mesh Versus Suture Techniques

What this Trial Is About

Researchers are evaluating the quality of life outcomes in patients undergoing surgery for incisional hernias. This trial compares two surgical methods repair using synthetic mesh and repair using sutures alone, focusing on hernias sized 2 to 6 cm. The study is designed as a patient-blinded randomized control trial to test if suture repair is not worse than mesh repair in terms of quality of life one year after surgery. Participants will be randomly assigned to one of two groups. One group will receive incisional hernia repair with prolene mesh placed in the retrorectus position with at least 4 cm of overlap. The other group will have the hernia repaired using only sutures with modern surgical techniques. Both groups will be followed in parallel, and participants will not know which treatment they received. During the study, researchers will assess quality of life using the HerQLes survey at one year, which is the primary outcome. Secondary outcomes include long-term quality of life, pain intensity, hernia recurrence, complications, overall quality of life, and cost effectiveness measured over five years. Participants are expected to be monitored regularly for these outcomes, and the total study duration extends up to several years to observe long-term effects.

Suture Repair vs Mesh Repair for Incisional Hernia