Emergency Hernia Repair

NCT07314398 | Not Yet Recruiting

• 1 other identifier: 50/2023
• Study Type: observational
• Target: 600
• Locations: 0 countries
• Sites: N/A

Brief Summary

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.

Conditions

Emergency Inguinal Hernia Repair; Emergency Ventral Hernia Repair

Keywords

inguinal hernia; ventral hernia; emergency surgery

Outcome Measures

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

  2 years

Secondary Outcomes (7)

• Surgical site infection rate 30 days after surgery

  30 days

• Incidence of Postoperative complications 30 after the surgery

  30 days

• Number of patients who died 30 days after the surgery

  30 days

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

  5 years

• Quality of life RAND-36

  5 years

Study Arms (1)

Emergency ventral or inguinal hernia repair

Patients, who will have their ventral or inguinal hernia repaired in emergency surgery

Procedure: Emergency hernia repair

Interventions

Emergency hernia repair PROCEDURE

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.

Emergency ventral or inguinal hernia repair

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

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

You may qualify if:

• Emergency repair of a groin or ventral hernia

You may not qualify if:

• Pregnancy
• Age under 18 years
• Advanced malignancy
• Inability to follow up (e.g., long travel distance or poor functional status)
• Participation in another study
• Lack of informed consent

Sponsors & Collaborators

• Oulu University Hospital: lead

MeSH Terms

Conditions

Hernia, Inguinal; Hernia, Ventral

Condition Hierarchy (Ancestors)

Hernia, Abdominal; Hernia; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 5 Years
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 1, 2025
• First Posted: January 2, 2026
• Study Start: February 1, 2026
• Primary Completion (Estimated): September 30, 2029
• Study Completion (Estimated): September 30, 2032
• Last Updated: January 2, 2026

Record last verified: 2025-10

Data Sharing

• IPD Sharing: Will not share