A Prospective Randomised Multi - Center Trial on the Repair of Large Hiatal Hernias: Absorbable Mesh vs. Pledgeted Sutures vs. Sutures Only

ConditionHiatal Hernia
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorParacelsus Medical University

About this trial

A prospective randomised multi - center trial on the repair of large hiatal hernias with sutures versus pledgeted sutures versus absorbable mesh

The primary objective of the present trial is to compare the hiatal hernia recurrence rate between three different methods of cruroplasty in large hiatal hernias: hiatal closure with sutures versus pledgeted sutures versus absorbable mesh (Phasix™ST mesh).

The duration of the study is not limited and depends on the number of cases planned. After enrollment in the study, patients will be followed - up with standardized questionnaires and gastroscopy at 6 months, 1 year, 3 years and 5 years after surgery.

Eligibility criteria

Qualifiers

Patients with a large hiatal hernia - admitted for surgery (laparoscopic / robot-assisted)

Written informed consent

≥ 18 years of age

> 5cm hiatal hernia

Disqualifiers

Lack of patient consent for study participation

Lack of consent to study due to linguistic or mental incomprehension

Patients in poor general condition (lack of anesthesia ability)

Pregnancy

Trial design

Treatments tested in this trial

  • Laparoscopic or robot-assisted hiatal closure (sutures only vs. absorbable mesh vs. pledgeted sutures) and fundoplication according to Toupet

Treatment groups

165 Participants
are divided into 3 treatment groups

Locations

This trial has no locations

Sponsors and collaborators

Paracelsus Medical University

Lead sponsor

Medical University Innsbruck

Collaborator

Medical University of Vienna

Collaborator

Krankenhaus Barmherzige Schwestern Linz

Collaborator

Elisabethinen Hospital

Collaborator