Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT06725433

Nissen Versus Dor Hiatal Hernia Repair

Led by Kuopio University Hospital · Updated on 2025-02-19

150

Participants Needed

1

Research Sites

259 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

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

CONDITIONS

Official Title

Nissen Versus Dor Hiatal Hernia Repair

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • At least 18 years of age
  • Type II-IV hiatal hernia confirmed by radiology or endoscopy
  • Scheduled for minimally invasive hiatal hernia repair
  • Emergency minimally invasive surgery for hiatal hernia
  • Informed consent obtained
Not Eligible

You will not qualify if you...

  • 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

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Kuopio University Hospital

Kuopio, Finland, 70200

Actively Recruiting

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Research Team

V

Ville Palomäki, MD, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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Nissen Versus Dor Hiatal Hernia Repair | DecenTrialz