Laparoscopic Ventral Hernia Repair with Routine Defect Closure Using Su2ura® Approximation Device

Last updated: January 20, 2025
Sponsor: Anchora Medical
Overall Status: Completed

Phase

N/A

Condition

Hernia

Pentalogy Of Cantrell

Treatment

Urine Pregnancy Test

Vital Signs

Visual Analouge Scale (VAS)

Clinical Study ID

NCT04986917
ANC-002
  • Ages > 18
  • All Genders

Study Summary

Study includes 5 visits: Screening, Baseline/Surgery, and 14 days, 3 months, 12months Follow-Ups post-surgery. The actual point of enrollment for each subject is considered the day of surgery. Total study duration is up to 12 months post-surgery.

Surgery will be performed under general anesthesia. Standard antibiotic prophylaxis will be administered 30 min prior to skin incision. A surgical assistant will be selected by the PI from the surgical staff of the department.

The procedure will involve placement of laparoscopic ports, reduction of the hernia sac, closure of the defect with the Su2ura® approximation device and fixation of mesh with tacks over the closed defect in an IPOM fashion.

Based on surgeon consideration, primary umbilical hernia defects under 2 cm will be repaired with or without mesh.

Study follow-up visits will take place 14 days, 3 months and 12 months post-surgery.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Age ≥18 years.

  2. Patient desires an elective surgical repair.

  3. Patient is able to provide an informed consent.

  4. Diagnosis of a primary or secondary ventral hernia, with a fascial defect of widthno more than 5 cm width in size on clinical examination or imaging scan.

  5. Body mass index (BMI) of 20-40 kg/m2.

  6. Candidate for laparoscopic repair based on the operating surgeon's assessment.

Exclusion

Exclusion Criteria:

Exclusion criteria 1. Diagnosis of concomitant abdominal wall defect(s) contiguous with ventral hernia.

  1. Patient in need of concomitant non-hernia repair surgical procedure(s). 3. Patientin need of emergent ventral hernia repair for complications such as incarceration,intestinal obstruction or strangulation.

  2. The patient desires hernia repair using a technique other than that consistent withthe study.

  3. Patient has loss of domain as assessed on physical examination or CT scan. 6.Patient has a history of an abdominal aortic aneurysm repair. 7. Patient has asevere co-morbid condition likely to limit survival to less than 2 years.

  4. Patient was treated with chemotherapy in the past 6 months. 9. Patient was treatedwith steroids in the past 6 months. 10. Patient with known collagen disorder. 11.Clean contaminated/contaminated or dirty surgical field. 12. Patient is pregnant orintends to become pregnant during the study period. 13. Patient has ascites onphysical examination or CT scan. 14. Patient has liver failure. 15. Patientundergoing dialysis treatment. 16. Patient has a wound-healing disorder. 17. Patienthas an untreated coagulation disorder or is on anti-coagulant therapy not managedperi-operatively with the advice or supervision of a hematologist.

  5. Patient with autoimmune disorder requiring more than 10 mg of corticosteroid daily.

  6. Patient who is immunocompromised (including a diagnosis of HIV/AIDS, organtransplant, or receiving chemo- or radiation therapy.

  7. Patient in need of concomitant surgical procedures other than indicated in theprotocol as acceptable.

  8. Non-compliance with the study protocol. 22. Patient requests to exit the study. 23.Prior radiotherapy. 24. Active malignancy for at least 2 years. 25. Patients hasDiastasis recti more than 4cm×4cm size

Study Design

Total Participants: 18
Treatment Group(s): 9
Primary Treatment: Urine Pregnancy Test
Phase:
Study Start date:
January 19, 2022
Estimated Completion Date:
November 21, 2024

Study Description

This study will be performed in accordance with the design and specific provisions of this protocol, in accordance with the ethical principles that have their origin in the Declaration of Helsinki, that are consistent with Good Clinical Practice (GCP), Title 21 of the Code of Federal Regulations (21 CFR), part 812 (Investigational Device Exemptions), and the applicable regulatory requirements.

The study is a prospective, multi-center, open study, to evaluate the efficacy and safety of the Su2ura® approximation device.

An abdominal hernia emerges through a preformed or acquired defect of the abdominal wall. The defect may be congenital (primary), acquired as a result of wear and tear (primary), or result from surgery or trauma, where failure of the abdominal wall to heal produces an incisional (non-primary) hernia. Examples of abdominal hernia include epigastric, umbilical and inguinal hernia. Patients may be asymptomatic or complain of a lump or pain. These patients are offered elective surgery. Patients may also present with complications necessitating emergency repair with or without additional resection of compromised viscera.

Ventral hernias are very common and do present a challenge because of the risk of recurrence. Besides the surgeon, these hernias are ideally managed by a dietitian, nurse, and a physical therapist. Patient education has been a very popular topic in literature and hospital settings. Giving patients literature and discussing outcomes with instructions on multiple aspects throughout their encounters has shown to be very effective.

The Su2ura Approximation Device is designed to deploy anchors threaded with stiches to facilitate tissue approximation by eliminating the need for the passing of a needle from one side of the tissue to the other as performed in traditional suturing. Utilizing the anchor feature allows a single action placement of a suture.

The principal investigator from each medical center participated in an appropriate training program. This training included the surgery procedure in an animal. The Principal investigators will train the sub investigators in this procedure. The sponsor will also provide training on the laparoscopic simulator to the principal investigators.

A total of 60 patients will be recruited to the study. Patients with a primary umbilical hernia under 2 cm will be recruited to the study and the hernia will be repaired with or without mesh according to the PI's decision.

Eligible patients with a primary or secondary ventral hernia, desiring an elective surgical repair, who amply the inclusion/Exclusion criteria will be offered to participate in the study.

Study includes 5 visits: Screening, Baseline/Surgery, and 14 days, 3 months, 12months Follow-Ups post-surgery. The actual point of enrollment for each subject is considered the day of surgery. Total study duration is up to 12months post-surgery.

Connect with a study center

  • Hillel Yaffe Medical Center

    Hadera, Central District
    Israel

    Site Not Available

  • Sourasky Medical Center (Ichilov)

    Tel Aviv, Central District
    Israel

    Site Not Available

  • Bnai Zion Medical Center

    Haifa, Northern District
    Israel

    Site Not Available

  • Barzilai Medical Center

    Ashkelon, Southern district
    Israel

    Site Not Available

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