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Impact of Core Muscle Training on Incisional Hernia and Pain After Abdominal Surgery

RecruitingNAAges 18 Years - anyAllInsel Gruppe AG, University Hospital Bern
NCT03808584 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

The current practice to avoid incisional hernia, one of the most frequent complications following abdominal surgery, is to minimize core muscle activity in the postoperative phase. However, there is no evidence to support the association of core muscle activity and increased incidence of incisional hernia. On the contrary, it is likely that reduced physical activity could lead to physical deconditioning, chronic postsurgical pain (CPSP), and sarcopenia. The investigators will conduct a prospective multicentric randomized clinical trial to compare standard of care to core muscle exercises targeting the abdominal muscles immediately postsurgery. The principle hypothesis is that neither specific exercises of core muscles before and after surgery nor physical restriction alter the incidence of incisional hernias. Secondly the impact of postoperative rehabilitation on CPSP and sarcopenia will

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📋 Eligibility rules (as published)
Inclusion Criteria: 1. At the University Hospital of Bern, Kantonsspital Solothurn and Olten and BundeswehrZentralkrankenhaus Koblenz: * Informed Consent as documented by signature (Appendix Informed Consent Form) * Age \> 18 years * Capable of judgment * Undergoing elective or emergency abdominal surgery * Laparoscopic or open surgery, midline or transverse incision 2. At the University Hospital of Lausanne: * Informed Consent as documented by signature (Appendix Informed Consent Form) * Age \> 18 years * Capable of judgment * Undergoing elective open abdominal surgery * Midline or transverse incision Exclusion criteria (in all four participating centres): * Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders (chronic depression, under antidepressants or neuroleptics), dementia, etc. of the participant * Enrolment of the investigator, his/her family members, employees and other dependent persons * Neuromuscular diseases (such as myasthenia gravis or wheelchair-bound patient) * Preexisting chronic pain disorder, patients under chronic opioid therapy (WHO II and III) or pain modulating drugs (antidepressive medication or antiepileptic medication) * End-stage disease * Patients with preexisting abdominal wall mesh, with the exception of inguinal mesh (after inguinal hernia repair)
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What it tests

  • Physiotherapy
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Where

5 sites
BundeswehrZentralkrankenhaus
Koblenz, Germany
Kantonsspital Olten
Olten, Switzerland
University Hospital of Bern, Inselspital
Bern, Switzerland
CHUV, University Hospital of Lausanne
Lausanne, Switzerland
Bürgerspital Solothurn
Solothurn, Switzerland
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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