Mesh vs. muscle flap: which rebuilds pelvic floor better after cancer surgery?
NCT ID NCT01347697
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested two methods to repair the pelvic floor after removing the rectum for advanced rectal cancer. One method uses a biological mesh made from pig collagen, the other uses a flap of muscle from the buttock. The goal was to see which approach leads to better physical function six months after surgery. The trial involved 91 adults and was completed.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- porcine acellular dermal collagen implant (biological mesh)
- What this could lead to
- If the biological mesh works better, it could offer a simpler, less painful recovery for patients after rectal cancer surgery.
- What could go wrong
- This is a small, completed trial with only 91 participants, so results may not apply to everyone. The mesh might not improve physical performance as hoped.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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91 people
The number who actually took part.
- Started
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Sep 2011
- Finished
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Sep 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult (18 years or older) rectal cancer patients where wide resection of pelvic floor muscles together with rectum and anal canal have made reconstruction of pelvic floor necessary i.e. primary suture of pelvic floor in the midline is not possible. Resection of coccyx is optional. Exclusion Criteria: * Age less than 18 years * Very large resections including partial resection of sacrum and patients considered for bilateral flap reconstruction * Large concomitant resection of vaginal wall where total (vaginal) wound closure is not an option * Expected survival less than one year at operation * Patient do not sign informed consent document
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Karolinska University Hospital, Solna
Stockholm, 171 76, Sweden
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Oulu University Hospital
Oulu, Finland
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Skåne Universtiy Hospital
Malmö, 20502, Sweden
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Sunderby County Hospital
Luleå, 971 80, Sweden
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Umeå University Hospital, Department of Surgical and Perioperative Sciences
Umeå, 901 85, Sweden
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Uppsala University Hospital
Uppsala, 751 85, Sweden
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Västmanlands Sjukhus Västerås
Västerås, 72189, Sweden
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Östersund Hospital
Östersund, 831 83, Sweden
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- A phase II study of total neoadjuvant mFOLFOX6 plus suvemcitug and enlonstobart with selective omission of pelvic radiotherapy for High-Risk Mid-Rectal locally advanced rectal cancer with MSS status
- Leveraging digital health solutions to collect Patient-Reported outcomes in rectal cancer
- Can a targeted drug conjugate outsmart advanced colorectal cancer?
- Can a platform trial match the right drug combo to each tumor?
- Laser light may help surgeons spot risky bowel connections
- Can a counseling program restore intimacy after rectal cancer?