About this trial
The aim of this study is to find out if using a certain kind of mesh can reduce the chances of hiatal hernias coming back after anti-reflux surgery. Participants undergoing antireflux surgery will be assigned to one of two groups, a group that has surgery with mesh, or a group that has surgery without mesh.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Documented diagnosis of gastroesophageal reflux disease
Adults aged 18 years or older
English speaking
Subject is planned to undergo surgery for reflux disease
Disqualifiers
Physician deems the subject is unable to complete the study due to documented dementia.
Subject is undergoing emergent surgery.
Pregnancy
Patient has known allergy to tetracycline hydrochloride or kanamycin sulfate
Trial design
Parallel
Treatments tested in this trial
Biosynthetic Mesh
DeviceThe biosynthetic mesh group will undergo hiatal hernia repair with Phasix Mesh (Becton Dickinson, Franklin Lakes, NJ) reinforcement, secured with permanent suture.
Hiatal Hernia Repair
Procedure/SurgeryThe non-mesh group will undergo hiatal hernia repair with permanent suture only.
Treatment groups
Trial outcomes
Primary outcomes
Anatomic hiatal hernia recurrence rate
Secondary outcomes
Anatomic Hiatal Hernia Recurrence rate
Anatomic Hiatal Hernia Recurrence rate
Reflux Symptoms
Reflux symptoms will be assessed using the gastroesophageal reflux disease health related quality of life survey (GERD-HRQL). The highest possible score on this survey is 75, indicating daily incapacitating symptoms in all areas assessed. The lowest possible score is 0, indicating no symptoms.
Reflux Symptoms
Reflux symptoms will be assessed using the gastroesophageal reflux disease health related quality of life survey (GERD-HRQL). The highest possible score on this survey is 75, indicating daily incapacitating symptoms in all areas assessed. The lowest possible score is 0, indicating no symptoms.
Sponsors and contacts
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Weill Medical College of Cornell University
Lead sponsor
Intuitive Surgical
Collaborator