Nissen Versus Dor Hiatal Hernia Repair

NCT ID: NCT06725433

Last Updated: 2025-02-19

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

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-07

Study Completion Date

2030-01-30

Brief Summary

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Hiatal hernia can present with a wide range of symptoms. An usual surgical repair technique usually includes Nissen fundoplication, while other procedures are less frequently employed. However, recurrence and reoperation rates remain high. This randomized controlled trial aims to compare the efficacy of Nissen and Dor fundoplication in preventing hiatal hernia recurrence and reducing the risk of reoperation

Participants undergoing minimally invasive hiatal hernia repair will be randomly assigned to either Nissen or Dor fundoplication. Postoperatively at 12 months, anatomical recurrence rates based on computed tomography scans and symptomatic recurrence rates, anti-reflux medication use, GERD-related quality of life, and dysphagia symptoms will be assessed. A subsequent long-term follow-up study will conducted afterwards utilizing national registry data to evaluate reoperation rates and anti-reflux medication use

Detailed Description

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Conditions

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Hiatal Hernia Paraesophageal Hernia Recurrence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Prospective open label randomized trial
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Nissen fundoplication

Hiatal hernia repair and Nissen (posterior 360-degree) fundoplication

Group Type ACTIVE_COMPARATOR

Nissen fundoplication

Intervention Type PROCEDURE

Hiatal hernia repair and Nissen fundoplication

Dor fundoplication

Hiatal hernia repair and Dor (anterior 180-degree) fundoplication

Group Type EXPERIMENTAL

Dor fundoplication

Intervention Type PROCEDURE

Hiatal hernia repair and Dor fundoplication

Interventions

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Nissen fundoplication

Hiatal hernia repair and Nissen fundoplication

Intervention Type PROCEDURE

Dor fundoplication

Hiatal hernia repair and Dor fundoplication

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* At least 18 years of age
* Type II-IV hiatal hernia, confirmed by radiology or endoscopy
* Scheduled for mini-invasive hiatal hernia repair
* Emergency mini-invasive surgery for hiatal hernia
* The informed consent is acquired

Exclusion Criteria

* Recurrent hiatal hernia
* Need for esophageal lengthening procedure (Collis)
* Gangrene or need for any resection during (emergency) surgery
* Need for laparotomy or thoracotomy/thoracoscopy
* No written consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kuopio University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ville Palomäki, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Kuopio University Hospital

Locations

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Kuopio University Hospital

Kuopio, , Finland

Site Status RECRUITING

Countries

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Finland

Central Contacts

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Ville Palomäki, MD, PhD

Role: CONTACT

+35817 173 311

Facility Contacts

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Ville A. Palomäki, MD, PhD

Role: primary

Other Identifiers

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KUH5204535

Identifier Type: -

Identifier Source: org_study_id

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