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.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 42 (estimated) |
| Sponsor | Corewell Health West Academic / other |
| Locations | 1 site (Grand Rapids, Michigan) |
| Status | Recruiting |
| Started | August 27, 2021 |
| Main results expected | March 2026 |
| Study ends | June 2026 |
| Registry record updated | September 29, 2025 |
| Trial ID | NCT07197619 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
- Study coordinator: kendra Selby
- Email: kendra.selby@helendevoschildrens.org
- Phone: 616-486-0281
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Comparing two surgical methods for hiatal hernia repair
This study is testing which of two surgical methods for fixing hiatal hernias works better to prevent them from coming back and improve quality of life for patients.
-
Using a new technique to repair large paraesophageal hernias
This study is testing a new surgical method for fixing large paraesophageal hernias in older patients to see if it works better and lasts longer than traditional repairs.
-
Repairing large hiatal hernias using Ovitex mesh
This study is testing if a special mesh can help fix large hiatal hernias and see if it keeps them from coming back while also checking how safe it is for patients.
-
Comparing mesh and sutures for paraesophageal hernia repair
This study is testing whether using a special mesh or stitches works better to prevent paraesophageal hernias from coming back after surgery for people who need this repair.
-
Comparing sutures and polyglactin mesh for hiatal hernia repair
This study is testing whether using mesh instead of just stitches during surgery can help prevent paraesophageal hernias from coming back in patients.
-
Laparoscopic Nissen vs Toupet fundoplication for hiatal hernia with reflux
This trial tests whether Nissen or Toupet fundoplication, performed laparoscopically, provides better outcomes for adults with hiatal hernia and reflux disease.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.