Clinical trial Recruiting at 1 site Observational Ages 18 to 80

Removing the hernia sac to lower crural tension during paraesophageal hernia repair

Official title: Effect of Hernia Sac Excision on Crural Tension in Paraesophageal Hernia Repair

Run by Corewell Health West · NCT07197619 · Data updated 2026-11-12

This study will test whether taking out the hernia sac during paraesophageal hernia surgery lowers tension on the diaphragmatic crura in adults having repair for symptomatic paraesophageal hernia.

More Paraesophageal Hernia trials

Quick facts

Study typeObservational
Ages18 Years to 80 Years
SexAll
Enrollment42 (estimated)
SponsorCorewell Health West
Academic / other
Locations1 site (Grand Rapids, Michigan)
StatusRecruiting
StartedAugust 27, 2021
Main results expectedMarch 2026
Study endsJune 2026
Registry record updatedSeptember 29, 2025
Trial IDNCT07197619 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults age 18 to 80 undergoing their first elective or emergent repair for symptomatic paraesophageal hernia without prior esophageal, gastric, diaphragmatic, or anti-reflux surgery are ideal candidates.

Probably not a fit

Patients with a history of prior esophageal, gastric, diaphragmatic, or anti-reflux operations are excluded and would not be represented, and those with asymptomatic or minimally symptomatic hernias are unlikely to gain direct benefit from this surgical-focused study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a single-center observational study at Corewell Health in Grand Rapids, Michigan enrolling adults aged 18–80 who undergo elective or emergency paraesophageal hernia repair. Patients with prior esophageal, gastric, diaphragmatic, or anti-reflux surgery are excluded. Surgical teams will document whether the hernia sac is excised and record intraoperative crural tension measures and perioperative outcomes, with planned follow-up to monitor recurrence and complications. The study collects real-world surgical data rather than assigning treatments.

Why it matters

Potential benefit: If sac excision is linked to lower crural tension and fewer recurrences, adopting the approach could reduce revisional surgeries and improve long-term quality of life for patients with paraesophageal hernia.

How similar studies have gone: Surgical case series have suggested sac excision may reduce recurrence, but comparative and high-quality prospective data remain limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* All patients age 18-80 undergoing elective or emergent paraesophageal hernia repair for symptomatic paraesophageal hernia will be eligible for enrollment into the study.

Exclusion Criteria:

* Patients with previous history of esophageal, gastric, diaphragmatic, or anti-reflux surgery will be excluded.

Where it's running

  • Corewell Health
    Grand Rapids, Michigan, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.