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Characterization of Explanted Hernia Meshes From Human Subjects: A Multi-Center, Prospective Study

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City:   Columbia
State:   Missouri
Zip Code:   65212
Conditions:   Pathological Conditions, Signs and Symptoms - Hernia
Purpose:   This study will collect a large amount of hernia mesh explants and study the changes that occur in the materials in vivo to use the information to help design new mesh made from novel materials. We will have evidence that our current options are not only inadequate but can lead to complications. One of our main goals is to convince our colleagues to change their surgical practice by publishing and educating them with this data.
Study Summary:   This study will collect a large amount of hernia mesh explants and study the changes that occur in the materials in vivo to use the information to help design new mesh made from novel materials. We will have evidence that our current options are not only inadequate but can lead to complications. One of our main goals is to convince our colleagues to change their surgical practice by publishing and educating them with this data. The objectives of this study are to establish the largest collection of explanted mesh materials in the country; demonstrate by common testing utilized by materials engineers, that in vivo exposure of mesh to the oxidants produced by phagocytosis may lead to chain scission, production of free radicals, and overall degradation of the material both physically and chemically; test mesh materials for a decrease in compliance, which would account for a tendency of mesh to stiffen while in the body reducing abdominal mobility and leading to chronic pain; characterize the histologic reaction of tissues to mesh; and utilize de-identified patient demographics to identify possible clinical characteristics which affect mesh degradation.
Criteria:   Inclusion Criteria: - Adults (persons 18 and older) - Previous placement of hernia mesh material - Current need for excision of previous mesh placement or current need for intra-abdominal surgical procedure Exclusion Criteria: - No retained mesh prosthetic - Non surgical candidate
NCT ID:   NCT00484887
Primary Contact:   Principal Investigator
Bruce Ramshaw, MD
University of Missouri-Columbia

Sharon L. Bachman, MD
Phone: 573-884-4003
Email: bachmans@missouri.edu
Backup Contact:   Email: ramshawb@health.missouri.edu
Bruce Ramshaw, MD
Phone: 573-884-5670
Location Contact:   Columbia, Missouri 65212
United States

Sharon L. Bachman, MD
Phone: 573-884-4003
Email: bachmans@missouri.edu

Site Status: Recruiting

Data Source:   ClinicalTrials.gov
Date Processed:   May 24, 2013
Modifications to this listing:   Only selected fields are shown, please use the link below to view all information about this clinical trial.
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