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Lifestyle Program Before Hernia Surgery to Reduce Complications

Tests an intensive lifestyle program before repair of ventral hernia in adults.

Plain-language title generated from the registry record
Registry title: STRONG for Surgery & Strong for Life - Intensive Prehabilitation for Risk Reduction in Ventral Hernia Repair

Key facts

Where
Herlev, Holbæk, and Køge, DenmarkSee the 3 sites

Where in Denmark

  • Copenhagen University Hospital at HerlevHerlev, DenmarkTaking people
  • Holbaek SygehusHolbæk, DenmarkNot yet recruiting
  • Zealand University HospitalKøge, DenmarkNot yet recruiting

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Trial details

Who runs it
Bispebjerg Hospital
Trial code
NCT06611462
Record updated
25 September 2024
Original description
The five risky lifestyles Smoking, Nutrition (obesity and malnutrition), risky Alcohol intake, and Physical inactivity (SNAP) are common in surgical patients and associated with worse postoperative outcomes. Mono-factor interventions targeting and improving these risky lifestyles have been shown to reduce the risk at surgery, but there is a lack of systematic assessment of all five lifestyles of the patient before surgery and related optimization.Read full original descriptionShow less

Effect of Tailored, Intensive Prehabilitation for Risky Lifestyles Before Ventral Hernia Repair on Postoperative Outcomes, Health, and Costs - a Randomised Controlled Trial (STRONG-Hernia)

The five risky lifestyles Smoking, Nutrition (obesity and malnutrition), risky Alcohol intake, and Physical inactivity (SNAP) are common in surgical patients and associated with worse postoperative outcomes. Mono-factor interventions targeting and improving these risky lifestyles have been shown to reduce the risk at surgery, but there is a lack of systematic assessment of all five lifestyles of the patient before surgery and related optimization.

This study aims to evaluate the effect of intensive combined lifestyle interventions (the STRONG programme) compared with treatment as usual in patients undergoing ventral hernia repair on postoperative complications, health, and costs on short and longer term.

The hypothesis is that the STRONG programme will halve the complication rates within 30 days.

Inclusion: Participants ≥18 years scheduled for ventral hernia repair (defect smaller than 8cm); Enough time for at least 4 weeks of prehabilitation; Screened positive for at least 1 risky SNAP factor; Signed informed consent.

Exclusion: Previous complicated alcohol withdrawal symptoms (delirium or seizures); Allergy/other contradiction to pharmaceutical and/or nutritional support; Not able to participate in intervention due to psychiatric ilness; Ventral hernia repairs with defect larger than 8 cm; Pregnancy/breastfeeding; Contradiction to exercise.

ClinicalTrials.gov NCT06611462