The Value of Lateral Release in Reconstruction of the Diaphragmatic Hiatus Hernia
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- STATUS
- Recruiting
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- End date
- Dec 31, 2026
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- participants needed
- 70
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- sponsor
- Karolinska Institutet
Summary
Patients scheduled for surgery for primary paraesophageal herniation are randomized to either conventional suturing of the crura or with the addition of lateral release.
Description
Patient undergoing surgery for primary paraesophageal herniation, are randomized to either conventional suturing of the diaphragmatic crura only or with the addition of a diaphragmatic incision "lateral release".
The patients are examined by computed tomography before surgery and at 1 and 3 years after surgery.
SF-36 (global quality of Life instrument), GSRS (Gastrointestinal Symptoms Rating Scale), Reflux frequency issues and Watson's dysphagia score are completed before and at 3 and 6 month as well as 1 and 3 years after surgery.
Patients undergoing laparoscopic repair for paraesophageal hernia Type II-IV are eligible for inclusion in the study. Included patients will be randomized to either reconstruction of the hiatus by suturing of the crura alone or in combination with an approximately 4 cm incision of the anterior aspect of the left diaphragma "lateral release" before crural suturing. The incision will be covered with a synthetic patch after crural closure is finished. All other aspects of the surgical procedure are similar in the two groups including complete mobilization of the hernia sac before and a total fundoplication after hiatal restoration, respectively.
Details
| Condition | Paraesophageal Hernia |
|---|---|
| Treatment | Crura plastic |
| Clinical Study Identifier | NCT04179578 |
| Sponsor | Karolinska Institutet |
| Last Modified on | 19 February 2022 |
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