Sutures Versus Polyglactin Mesh in Hiatal Hernia Repair

Launched by OULU UNIVERSITY HOSPITAL · Jan 19, 2022

Keywords

ClinConnect Summary

This clinical trial is studying two different methods for repairing a type of hernia called a paraesophageal hernia, which can cause symptoms like pain, heartburn, and in some cases, serious complications. The trial will compare using traditional sutures versus a special type of mesh called polyglactin (Vicryl®) to see which method better prevents the hernia from coming back after surgery. Researchers will enroll a total of 110 patients who are 18 years or older and are scheduled for laparoscopic surgery to fix this hernia. Participants will need to have a specific type of hernia confirmed by medical imaging or endoscopy, and they must be able to provide informed consent.

If you join this trial, you can expect to receive either the suture or mesh repair during your surgery. The main goal is to check for any recurrence of the hernia six months after the procedure using a specialized scan. Additionally, the study will look at other factors, like any recurring symptoms, the need for further surgeries, and how your quality of life might change over the next 20 years. This trial is currently recruiting participants of all genders, so if you or someone you know is dealing with this type of hernia and meets the eligibility criteria, it could be an opportunity to contribute to important research in this area.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Over 18 years old
• • Type III-IV PEH with either radiologic or endoscopic confirmation
• • Scheduled for laparoscopic PEH repair
• • The informed consent is acquired
• Exclusion Criteria:
• • Need for esophagus lengthening procedure (Collis gastroplasty)
• • Recurrent PEH
• • Emergency surgery
• • No written consent