Can a simple mesh stop hernias after emergency surgery?

NCT ID NCT07753551

First seen Aug 07, 2026 ยท Last updated Aug 07, 2026

Summary

This trial tests whether placing a special mesh during emergency abdominal surgery can prevent incisional hernias, a common complication. Adults undergoing emergency midline laparotomy will be randomly assigned to receive either the mesh reinforcement or standard suture closure. The main goal is to compare the rate of hernias at one year after surgery, with additional monitoring of complications, pain, and quality of life.

What this could mean

Our plain-language read of the trial. This is informational only โ€” not medical advice or a prediction.

Active substance
A biosynthetic mesh (poly-4-hydroxybutyrate) placed during abdominal wall closure to reinforce the incision, compared with standard suture closure.
What this could lead to
If effective, this approach could reduce the risk of incisional hernias after emergency abdominal surgery, potentially improving recovery and quality of life for many patients.
What could go wrong
The trial is relatively small and results may not apply to all patients. Mesh placement could carry risks such as infection or increased pain, and the benefit may not be significant.

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Conditions

The condition(s) this trial relates to.

Emergencies Incisional Hernia

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Policlinico di Roma Tor Vergata

    Roma, Italy

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