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Status unknownNCT02457364Updated May 2, 2018

Non-Op Management of Ventral Hernia Patients

An observational study in Hernia, Ventral, sponsored by The University of Texas Health Science Center, Houston. Status unknown at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-05-02.

Sponsored by The University of Texas Health Science Center, Houston · Observational

The sponsor has not verified this record recently (last verified Apr 2018), so the status shown — last known as Active, not recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
143
Ages
18 Years and older
Sex
All
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Study summary

Ventral hernias are among the most common surgical diseases among patients.The natural history of patients with ventral hernias who are managed non-operatively is unknown. The aim of this prospective trial is to document the natural history of patients who are undergoing initially non-operative management. The investigators hypothesize that 1) the risk of emergency ventral hernia repair is low, 2) the risk of elective ventral hernia repair is high, and 3) patients managed non-operatively will develop increasing hernia size and symptom progression. This is a prospective observational study of all patients undergoing non-operative management at LBJ General Hospital. Patients will be consented and then followed for 5 years. Phone interviews will be done with these patients yearly to assess surgical and medical history, information about their hernia, including pain level due to the hernia, as well as function and quality of life.

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Conditions studied

  • Hernia, Ventral

Keywords

  • non-operative management
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In context

Hernia

1,096 studies on the registry are indexed under Hernia; 132 are open to participants now.

This study's planned enrollment of 143 is above the median of 120 across 327 observational studies indexed under Hernia.

Browse Hernia studies →

Lead sponsor

The University of Texas Health Science Center, Houston is the lead sponsor of 880 studies on the registry; 209 are open to participants now.

Of its 170 completed or terminated interventional studies of FDA-regulated products, 140 (82%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

All patients with a ventral hernia who are undergoing non-operative management of their hernia at LBJ General Hospital.

Inclusion criteria

  • All patients undergoing initial non-operative management as chosen by current practice patterns
  • All patients who opt for non-operative management due to personal choice, lack of symptoms or concerns regarding surgical risks.
  • Age 18 or older

Exclusion criteria

Exclusion Criteria:

  • Patient meets surgery criteria but elects for surgery within 1 year due to personal scheduling
  • Patient smokes \< 1 pack per day, is actively quitting smoking, and desires to follow-up within 3 months upon smoking cessation
  • Patient with BMI \< 35 kg/m2, is actively losing weight, and desires to follow-up within 3 months upon weight loss goals being met
  • Patient is unlikely to be able to follow-up due to no personal or home phone
  • Patient is enrolled in another trial
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
143 participants (estimated)
Patient registry
No
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What researchers measure

Primary outcomes

  1. Rate of surgical repair of the ventral hernias per patient year

    Time frame: Once a year for 5 years

Secondary outcomes

  1. Rate of emergency repair of ventral hernias per patient year

    Time frame: Once a year for 5 years

  2. Rate of elective repair of ventral hernias per patient year

    Time frame: Once a year for 5 years

  3. Rate of emergency room visits per patient year

    Time frame: Once a year for 5 years

Other outcomes

  1. Change in pain from baseline using the Visual Analog Scale for Pain

    Time frame: Once a year for 5 years

  2. Change in patient function from baseline using the HerQLes Survey

    Time frame: Once a year for 5 years

  3. Change in patient quality of life from baseline using the HerQLes Survey

    Time frame: Once a year for 5 years

  4. Change in hernia size based on clinical exam or CT scan

    Time frame: Once a year for 5 years

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Study locations

1 site
  • LBJ General Hospital-UT Health
    Houston, Texas 77026, United States
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References and documents

Publications

  • Bedewi MA, El-Sharkawy MS, Al Boukai AA, Al-Nakshabandi N. Prevalence of adult paraumbilical hernia. Assessment by high-resolution sonography: a hospital-based study. Hernia. 2012 Feb;16(1):59-62. doi: 10.1007/s10029-011-0863-4. Epub 2011 Jul 28. PubMed 21796449 ↗
  • Meier DE, OlaOlorun DA, Omodele RA, Nkor SK, Tarpley JL. Incidence of umbilical hernia in African children: redefinition of "normal" and reevaluation of indications for repair. World J Surg. 2001 May;25(5):645-8. doi: 10.1007/s002680020072. PubMed 11369993 ↗
  • Lauscher JC, Martus P, Stroux A, Neudecker J, Behrens U, Hammerich R, Buhr HJ, Ritz JP. Development of a clinical trial to determine whether watchful waiting is an acceptable alternative to surgical repair for patients with oligosymptomatic incisional hernia: study protocol for a randomized controlled trial. Trials. 2012 Feb 7;13:14. doi: 10.1186/1745-6215-13-14. PubMed 22314130 ↗
  • Ah-Kee EY, Kallachil T, O'Dwyer PJ. Patient awareness and symptoms from an incisional hernia. Int Surg. 2014 May-Jun;99(3):241-6. doi: 10.9738/INTSURG-D-14-00039.1. PubMed 24833146 ↗
  • Bellows CF, Robinson C, Fitzgibbons RJ, Webber LS, Berger DH. Watchful waiting for ventral hernias: a longitudinal study. Am Surg. 2014 Mar;80(3):245-52. PubMed 24666865 ↗
  • Mudge M, Hughes LE. Incisional hernia: a 10 year prospective study of incidence and attitudes. Br J Surg. 1985 Jan;72(1):70-1. doi: 10.1002/bjs.1800720127. PubMed 3155634 ↗
  • Cevese PG, D'Amico DF, Biasiato R, Frego MG, Tropea A, Giaconi MA, Bianchera GG. Peristomal hernia following end-colostomy: a conservative approach. Ital J Surg Sci. 1984;14(3):207-9. PubMed 6500908 ↗
  • Cherney DZ, Siccion Z, Chu M, Bargman JM. Natural history and outcome of incarcerated abdominal hernias in peritoneal dialysis patients. Adv Perit Dial. 2004;20:86-9. PubMed 15384802 ↗
  • Eid GM, Wikiel KJ, Entabi F, Saleem M. Ventral hernias in morbidly obese patients: a suggested algorithm for operative repair. Obes Surg. 2013 May;23(5):703-9. doi: 10.1007/s11695-013-0883-5. PubMed 23494458 ↗
  • Liu NW, Hackney JT, Gellhaus PT, Monn MF, Masterson TA, Bihrle R, Gardner TA, House MG, Koch MO. Incidence and risk factors of parastomal hernia in patients undergoing radical cystectomy and ileal conduit diversion. J Urol. 2014 May;191(5):1313-8. doi: 10.1016/j.juro.2013.11.104. Epub 2013 Dec 10. PubMed 24333109 ↗
  • Marsman HA, Heisterkamp J, Halm JA, Tilanus HW, Metselaar HJ, Kazemier G. Management in patients with liver cirrhosis and an umbilical hernia. Surgery. 2007 Sep;142(3):372-5. doi: 10.1016/j.surg.2007.05.006. PubMed 17723889 ↗
  • Fitzgibbons RJ Jr, Ramanan B, Arya S, Turner SA, Li X, Gibbs JO, Reda DJ; Investigators of the Original Trial. Long-term results of a randomized controlled trial of a nonoperative strategy (watchful waiting) for men with minimally symptomatic inguinal hernias. Ann Surg. 2013 Sep;258(3):508-15. doi: 10.1097/SLA.0b013e3182a19725. PubMed 24022443 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 2, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02457364
Lead sponsor
The University of Texas Health Science Center, Houston
Responsible party
Mike K Liang (Assistant Professor, The University of Texas Health Science Center, Houston) — Principal investigator
First posted
May 29, 2015
Start date
Jul 2015
Primary completion
Jun 2020 (estimated)
Completion
Jun 2020 (estimated)
Last update
May 2, 2018

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Apr 2018. You cannot join it, but the record below documents what was studied.

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