Status:

RECRUITING

Mesh Vs Pledgets for Repair of Paraesophageal Hernia

Lead Sponsor:

David Krpata

Conditions:

Paraesophageal Hernia

GERD

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The goal of this clinical trial is to compare whether the use of Ovitex mesh provides superior reduction in 2-year recurrence compared to pledgeted suture closure (no mesh) for patients undergoing par...

Detailed Description

This is a prospective, single-center, randomized, two-arm trial assessing the impact of Ovitex mesh on paraesophageal hernia recurrence. This study will occur at Cleveland Clinic Foundation in Clevela...

Eligibility Criteria

Inclusion

  • 18 years of age or older
  • Willing and able to provide informed consent
  • Willing and able to participate in long-term follow up including study visits and surveys
  • Type II, III, or IV hiatal hernia \> 5 cm, confirmed via upper GI studies, CT, or MRI 5 cm or greater hernia confirmed intraoperatively

Exclusion

  • Pregnancy
  • BMI \>45
  • Allergy to any components of mesh
  • Patients undergoing PEHR with a concurrent bariatric procedure or other procedure to reduce stomach volume (sleeve gastrectomy, roux-en-y gastric bypass, duodenal switch, single-anastomosis gastric bypass, and partial or total gastrectomy)
  • Patients who have undergone previous hiatal hernia repair

Key Trial Info

Start Date :

September 11 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2028

Estimated Enrollment :

164 Patients enrolled

Trial Details

Trial ID

NCT05974722

Start Date

September 11 2023

End Date

December 1 2028

Last Update

October 7 2025

Active Locations (1)

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Cleveland Clinic Center for Abdominal Core Health

Cleveland, Ohio, United States, 44195