Suture Repair vs Mesh Repair for Incisional Hernia

NCT ID: NCT05599750

Last Updated: 2026-01-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

154 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-14

Study Completion Date

2031-10-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The goal of this randomized controlled trial is to compare the difference in quality of life at one year postoperatively for patients undergoing incisional hernia repair with mesh versus suture repair using modern techniques.

The main question it aims to answer are:

• Determine if primary suture repair is non-inferior to mesh repair for incisional hernias 2-6cm with respect to quality of life using the HerQLes summary score at one year postoperatively.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

This is a patient-blinded randomized control trial comparing incisional hernia repair using synthetic mesh versus suture repair. This is a non-inferiority trial theorizing that suture repair will be non-inferior with respect to quality of life (using the HerQLes survey) at 1 year postoperatively. Patients will be blinded to the intervention, groups will be in parallel.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Incisional Hernia

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Participants will be blinded to intervention. Recurrence on imaging will be assessed by blinded assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Hernia repair with mesh (Control arm)

Participants will undergo incisional hernia repair with prolene mesh in the retrorectus position with at least 4cm of overlap.

Group Type ACTIVE_COMPARATOR

Incisional hernia repair

Intervention Type PROCEDURE

Participants will undergo incisional hernia repair

Primary closure (Intervention arm)

Participants will undergo incisional hernia repair with suture alone using modern surgical techniques.

Group Type ACTIVE_COMPARATOR

Incisional hernia repair

Intervention Type PROCEDURE

Participants will undergo incisional hernia repair

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Incisional hernia repair

Participants will undergo incisional hernia repair

Intervention Type PROCEDURE

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Adults \>18 years old.
* Anticipated hernia defect 2-6cm in width
* Non-emergent case
* CDC class I
* Patients who previously underwent primary ventral hernia repair without the use of mesh
* Incisional hernia

Exclusion Criteria

* Emergent cases
* Patients \< 18 years old
* Patients who are pregnant
* Patients who previously underwent a prior ventral hernia repair with mesh at the site of the intended repair. Abdominal mesh in separate locations would be allowed.
* Ventral hernia \<2cm or \> 6 cm in width
* Primary hernia
* CDC wound class II-IV
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Clayton Petro

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Clayton Petro

Assistant Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Clayton Petro, MD

Role: PRINCIPAL_INVESTIGATOR

The Cleveland Clinic

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

University of Florida

Gainesville, Florida, United States

Site Status RECRUITING

Northwestern

Chicago, Illinois, United States

Site Status RECRUITING

Cleveland Clinic Main Campus

Cleveland, Ohio, United States

Site Status RECRUITING

The Ohio State University Wexner Medical Center

Columbus, Ohio, United States

Site Status NOT_YET_RECRUITING

Vanderbilt University

Nashville, Tennessee, United States

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

United States

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Clayton Petro, MD

Role: CONTACT

2169242930

William Bennett, MD

Role: CONTACT

2163138971

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Mazen Al-Mansour, MD

Role: primary

Michael J Rosen, MD

Role: primary

312-695-4835

Harika Reddy, MPH

Role: backup

312-503-3929

William Bennett, MD

Role: primary

216-313-8971

Benjamin Poulose, MD

Role: primary

Kayla Diaz

Role: backup

Richard Pierce, MD, PhD

Role: primary

References

Explore related publications, articles, or registry entries linked to this study.

Maskal SM, Miller BT, Ellis RC, Beffa LRA, Prabhu AS, Rosen MJ, Krpata DM, Huang LC, Petro CC. A modern comparison of suture repair versus mesh repair for incisional hernia: a study protocol for a randomized controlled trial. Trials. 2025 Oct 29;26(1):450. doi: 10.1186/s13063-025-08924-5.

Reference Type DERIVED
PMID: 41163187 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

22-945

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.