Which hernia repair technique causes less pain? a trial puts two methods Head-to-Head
NCT ID NCT06367309
First seen Jul 24, 2026 · Last updated Jul 24, 2026
Summary
This trial compares two minimally invasive surgical techniques for repairing ventral hernias (bulges in the abdominal wall). One technique, called eTEP, works entirely outside the abdominal cavity, while the other, IPOM, places a mesh inside the cavity. Researchers want to know which approach leads to less pain after surgery, fewer complications, and better long-term outcomes. The study includes adults with small-to-medium-sized hernias who are eligible for minimally invasive surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- two minimally invasive surgical techniques: Extended Totally Extraperitoneal (eTEP) repair and Intraperitoneal Onlay Mesh (IPOM) repair
- What this could lead to
- If one technique proves superior, it could become the preferred approach for ventral hernia repair, reducing patient pain and recovery time.
- What could go wrong
- This is a relatively small trial (138 participants), and results may not apply to all hernia types or patients. Both techniques carry standard surgical risks like infection or recurrence.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 138 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2024
- Expected to finish
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Dec 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patient age \>18 years * Informed consent obtained * Primary or incisional ventral hernia * Epigastric, umbilical or infraumbilical ventral hernias with transversal diameter \>1cm and \</= 4cm, +/- rectus diastasis which doesn't demand specific treatment * If multiple hernias: cumulative transversal diameter \</= 4cm * Considered eligible for minimally-invasive approach Exclusion Criteria: * Subxyphoidal or suprapubic hernias * precedent hernia treatment with mesh placement in the retromuscular space * liver disease defined by the presence of ascites * end-stage renal disease requiring dialysis * need of an emergency surgery * pregnancy * need of rectus diastasis treatment intraoperatively Criteria for participating surgeons \- Each participating surgeon has performed 20 or more laparoscopic IPOM procedures and 20 or more eTEP procedures.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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St. Clara Hospital
RECRUITINGBasel, Canton of Basel-City, 4058, Switzerland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can we predict mesh infections before they happen? a new study aims to find out
- Can a robot help heal large hernias faster? a trial puts it to the test
- Can a flap made from the hernia sac itself prevent mesh complications?
- Could a muscle relaxant cut opioid use after hernia surgery?
- Physical therapy after hernia surgery shows promise in small trial
- Hernia surgery showdown: laparoscopic vs. open vs. robotic