Can a flap made from the hernia sac itself prevent mesh complications?

NCT ID NCT07720154

First seen Jul 22, 2026 · Last updated Jul 23, 2026 · Updated 1 time

Summary

This trial tests whether preserving the hernia sac as a living flap and stitching it under the mesh can reduce wound and mesh problems after complex ventral hernia repair where the defect has a bony edge. Half of the 180 participants will receive the standard repair plus the sac flap; the other half will receive standard repair alone. The main question is whether the flap lowers the rate of surgical site occurrences within 30 days, such as infection, seroma, or mesh exposure.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
a surgical procedure that uses the patient's own hernia sac as a living flap to cover the mesh
What this could lead to
If successful, this technique could lower the risk of wound infections, seromas, and mesh-related complications after complex hernia surgery, without added cost or donor tissue.
What could go wrong
This is a single-center trial with 180 participants, so results may not apply broadly. The flap may not always be usable, and the procedure adds complexity to the operation.

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Conditions

The condition(s) this trial relates to.

Hernia Hernia, Abdominal Hernia, Ventral Incisional Hernia Postoperative Complications Seroma Surgical Wound Infection

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Minia University Hospitals - Department of Surgery, Faculty of Medicine, Minia University

    Minya, Minya Governorate, 61519, Egypt

    Contact Phone: •••-•••-•••• Email: •••••@•••••

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