Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Using a special mesh to improve hiatal hernia surgery outcomes

Official title: The Impact of Biosynthetic Mesh on Paraesophageal Hernia Repair in Robotic Anti-Reflux Surgery: A Multi-Institutional Randomized Trial

Run by Weill Medical College of Cornell University · NCT06444347 · Data updated 2026-11-12

This study tests whether using a special mesh during hiatal hernia surgery can help prevent the hernia from coming back in adults with gastroesophageal reflux disease.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment200 (estimated)
SponsorWeill Medical College of Cornell University
Academic / other
Locations6 sites (Los Angeles, California and 5 other locations)
StatusRecruiting
StartedJune 10, 2024
Main results expectedJuly 2027
Study endsJuly 2030
Registry record updatedAugust 19, 2026
Trial IDNCT06444347 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with a documented diagnosis of gastroesophageal reflux disease who are scheduled for anti-reflux surgery.

Probably not a fit

Patients who are undergoing emergency surgery or have conditions like documented dementia or pregnancy may not benefit from this study.

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

What this trial studies

This study investigates whether the use of a biosynthetic mesh during anti-reflux surgery can decrease the recurrence rate of hiatal hernias. Participants will be randomly assigned to receive either the mesh or standard surgery without it. The goal is to determine if the mesh provides a significant advantage in preventing hernia recurrence post-surgery. The study focuses on adults diagnosed with gastroesophageal reflux disease who are scheduled for surgical intervention.

Why it matters

Potential benefit: If successful, this approach could lead to lower rates of hiatal hernia recurrence, improving patient outcomes after surgery.

How similar studies have gone: While the use of mesh in hernia repairs is common, this specific application in hiatal hernia surgery is relatively novel and has not been extensively tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Documented diagnosis of gastroesophageal reflux disease
* Adults aged 18 years or older
* English speaking
* Subject is planned to undergo surgery for reflux disease

Exclusion Criteria:

* Physician deems the subject is unable to complete the study due to documented dementia.
* Subject is undergoing emergent surgery.
* Pregnancy
* Patient has known allergy to tetracycline hydrochloride or kanamycin sulfate

Where it's running

  • Weill Cornell Medicine
    New York, New York, United States
    Recruiting
  • University of Southern California Keck School of Medicine
    Los Angeles, California, United States
    Withdrawn
  • Louisiana State University School of Medicine
    New Orleans, Louisiana, United States
    Withdrawn
  • Washington University School of Medicine
    St Louis, Missouri, United States
    Withdrawn
  • NYU Langone Health
    New York, New York, United States
    Not yet recruiting
  • Lenox Hill Hospital
    New York, New York, United States
    Not yet recruiting

Study contacts

  • Principal investigator: Rasa Zarnegar, MD — Weill Medical College of Cornell University
  • Study coordinator: Annabel Endean, NP
  • Email: ant2028@med.cornell.edu
  • Phone: 646-962-5250

Similar studies

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

  • Predictors of symptom improvement after laparoscopic fundoplication

    This study tests what preoperative factors help predict which GERD patients will feel better after laparoscopic fundoplication.

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  • Hiatal hernia repair using OviTex reinforced tissue matrix

    This will test whether using OviTex reinforced tissue matrix during minimally invasive hiatal hernia repair reduces recurrence and post-operative complications in adults having elective robotic or laparoscopic repair.

    Recruiting at 5 sites Tela Bio Inc · Mobile, Alabama and 4 other locations · NCT07070115

  • 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.

    Recruiting Kuopio University Hospital · Kuopio · NCT06725433

  • 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.

    Recruiting Oulu University Hospital · Oulu · NCT05201508

  • Registry for identifying risk factors of esophageal cancer

    This study is trying to find out if certain blood and tissue markers can help identify people at risk for esophageal cancer by looking at their medical history and samples.

    Recruiting University of Pittsburgh · Pittsburgh, Pennsylvania · NCT00260585

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.