Gastrointestinal Tract Recovery in Patients Undergoing Open Ventral Hernia Repair

Gastrointestinal Tract Recovery in Patients Undergoing Open Ventral Hernia Repair

Full Study Title: Gastrointestinal Tract Recovery in Patients Undergoing Open Ventral Hernia Repair

Summary

The purpose of this study is to determine whether Alvimopan (Entereg) in ventral hernia surgery patients is associated with accelerated gastrointestinal recovery and reduced length of hospital stay compared to placebo controls.

Participant Eligibility

Inclusion Criteria:

  1. Subjects will be informed about the study, have read, understood, and signed the Informed Consent Form
  2. Subjects of either gender that are ≥18 years of age
  3. Subjects who can ambulate preoperatively
  4. Subjects will have a Body-Mass Index (BMI) of ≤ 40mg/m2
  5. Subjects with an ASA classification of 1, 2 or 3
  6. Subjects not receiving an epidural to control perioperative pain
  7. Subjects will be undergoing elective single-staged open ventral (incisional or midline) hernia repair
  8. Subjects in which intra-operatively their surgical field/wound is characterized as Type 1 (Appendix II)
  9. Subjects with a hernia defect ≥9 cm2 large

Exclusion Criteria:

  1. Subjects who are not able to comprehend or comply with study requirements
  2. Subjects who are pregnant
  3. Subjects with BMI > 40
  4. Subjects with autoimmune disorder requiring >10mg of a corticosteroid per day
  5. Subjects with pre-existing systemic infections
  6. Subjects with a wound-healing disorder
  7. Subjects who have taken therapeutic doses of opioids for more than 7 consecutive days immediately prior to taking Alvimopan
  8. Subjects who are immunocompromised such as HIV or transplant, or receiving chemo or radiation therapy
  9. Subjects with a hernia defect < 9cm2 large when measured intra-operatively
  10. Subjects in which intra-operatively their surgical wound field/wound is characterized as Type 2, 3, or 4 (Appendix II)
  11. Subjects in which the ventral incisional hernia repair requires more than one operation to reduce the hernia or to complete the hernia repair
  12. Subjects with a hernia repair requiring an emergent procedure
  13. Subjects in which untreated cancer was found intra-operatively
  14. Subjects with cirrhosis or are currently being treated with dialysis
  15. Subjects with severe hepatic impairment (Childs-Pugh class C)
  16. Subjects with end-stage renal disease
  17. Subjects scheduled for a concomitant procedure that involves the GI tract
  18. Subjects with unplanned procedures that involve the GI tract
  19. Subjects requiring post-operative NGT
  20. Subjects participating in another prospective interventional study that involves the use of a device, drug, or surgery that would compromise the current study
  21. Subjects with an epidural to control perioperative pain

Study ID: NCT02379858

Study Sites
Medical College of Wisconsin

Principal Investigator(s)

Contact
Matthew I Goldblatt, MD
414-805-5727
mgoldbla@mcw.edu