Emergency Hernia Repair

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorOulu University Hospital

About this trial

Emergency hernia repairs are associated with significantly higher morbidity and mortality compared with elective hernia surgery. In Finland, approximately 500 emergency groin hernia repairs and 600 ventral hernia repairs are performed annually, but treatment practices vary widely, and high-quality evidence is lacking.

This prospective multicenter cohort study will evaluate outcomes of emergency groin and ventral hernia repairs in Finland. About 600 patients will be recruited over two years and followed for five years postoperatively. The study will collect standardized data on patient demographics, comorbidities, surgical technique, intraoperative findings, postoperative course, and long-term follow-up. Quality of life will be assessed with RAND-36, AAS, and PROMIS questionnaires.

The primary endpoint is hernia recurrence within two years after surgery. Secondary outcomes include 30- and 90-day complications, infection rates, readmissions, recovery time, and quality of life at 1, 2, and 5 years.

The results will provide robust evidence to guide clinical practice, optimize surgical techniques, and refine urgency classification and surgeon competence requirements for emergency hernia repair.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Emergency repair of a groin or ventral hernia

Disqualifiers

Pregnancy

Age under 18 years

Advanced malignancy

Inability to follow up (e.g., long travel distance or poor functional status)

Trial population

Patients, who will undergo emergency ventral or inguinal hernia repair between Oct 1st 2025 and Sep 31st 2027 in participating hospitals

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Emergency hernia repair

    Procedure/Surgery

    Patients who will have either their ventral or inguinal hernia repaired in emergency surgery. The techniques are not standardized, but the details will be collected to prospective database.

Treatment groups

600 Participants
are divided into 1 treatment group
Group A: Emergency ventral or inguinal hernia repair1 intervention

Trial outcomes

Primary outcomes

1

Number of patients with hernia recurrence

Either clinical or radiological recurrent hernia * Risk of recurrence and quality of life at 1, 2, and 5 years * Impact of wound and mesh infections, as well as other postoperative factors, on recurrence * Effectiveness and safety of different surgical techniques

Time frame
2 years

Secondary outcomes

1

Surgical site infection rate 30 days after surgery

Surgical site infection as described by Centers for Disease Control and Prevention

Time frame
30 days
2

Incidence of Postoperative complications 30 after the surgery

Surgical complications graded by Clavien-Dindo Classification

Time frame
30 days
3

Number of patients who died 30 days after the surgery

Death after the surgery

Time frame
30 days
4

Incidence of hernia related re-operations during the 5 years' follow-up

Reoperations due to recurrent hernia, mesh or other operations at the previous hernia site

Time frame
5 years

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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