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WithdrawnNCT05994248Updated Jun 4, 2025

Randomized Controlled Trial (RCT) Umbilical Hernia Repair (UHR) Absorbable vs Non-absorbable Synthetic Mesh

An interventional study of Enform Mesh and Marlex in Umbilical Hernia, sponsored by Wake Forest University Health Sciences. Withdrawn. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-06-04.

Sponsored by Wake Forest University Health Sciences · Not applicable, Interventional, and Treatment

Why this study was withdrawn
study was never opened and PI now leaving institution
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The goal of this study is to see which of two types of mesh is better for fixing an umbilical hernia. One type of mesh is an absorbable synthetic mesh, which goes away on its own in the body, and the other type of mesh is a non-absorbable mesh, which stays in the body forever. The researchers will check if the hernia comes back, how it affects the patient's quality of life, and if there are any problems after the surgery during a three-year period.

Read the detailed description

The goal of this study is to compare the use of absorbable synthetic (AS) mesh versus non-absorbable mesh (NAS) mesh to determine the 3-year recurrence, quality of life (QOL) and postoperative complications in umbilical hernia repair. Patients will be randomized into one of two arms to receive an absorbable (Enform) mesh or non-absorbable (Marlex) mesh. Patients will undergo an umbilical hernia repair with the mesh assigned to their randomization cohort. The hernia recurrence, quality of life and postoperative outcomes to determine if the two meshes are non-inferior.

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Conditions studied

  • Umbilical Hernia

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Keywords

  • Randomized Controlled Trial (RCT)
  • Absorbable Mesh
  • Non-Absorbable Mesh
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In context

Hernia, Umbilical

67 studies on the registry are indexed under Hernia, Umbilical; 13 are open to participants now.

Browse Hernia, Umbilical studies →

Lead sponsor

Wake Forest University Health Sciences is the lead sponsor of 1,351 studies on the registry; 201 are open to participants now.

Of its 332 completed or terminated interventional studies of FDA-regulated products, 251 (76%) 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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 18 years and older
  • Primary umbilical hernia repair (UHR) [as defined by European Hernia Society (EHS) guidelines primary midline abdominal wall defect from 3 cm above to 3 cm below the umbilicus]
  • Undergoing elective laparoscopic or open repair
  • Defect size of 1-4cm2
  • Centers for Disease Control and Prevention (CDC) class 1 \& 2 wounds

Exclusion criteria

Exclusion Criteria:

  • None
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Non-Absorbable Synthetic Mesh

    Subjects randomized to the non-absorbable synthetic mesh arm will undergo the procedure (umbilical hernia repair) to receive Marlex mesh.

    Device: Marlex

  • Active comparator
    Absorbable Synthetic Mesh

    Subjects randomized to the absorbable synthetic mesh arm will undergo the procedure (umbilical hernia repair) to receive Enform mesh.

    Device: Enform Mesh

Interventions

  • DeviceEnform Mesh

    Use of absorbable mesh in umbilical hernia repair

  • DeviceMarlex

    Use of non-absorbable mesh in umbilical hernia repair

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What researchers measure

Primary outcomes

  1. Umbilical Hernia Recurrence

    The rate of hernia recurrence 3-years postoperatively

    Time frame: 3-years postoperatively

Secondary outcomes

  1. Mesh Related Complication - Mesh infection

    The rate of mesh infection within 1-year postoperatively

    Time frame: 1-year postoperatively

  2. Mesh Related Complication - Mesh excision

    The rate of mesh excision within 1-year postoperatively

    Time frame: 1-year postoperatively

  3. Postoperative Outcome - 30-day readmission

    The rate of 30-day readmission

    Time frame: 30-days postoperatively

  4. Postoperative Outcome - Seroma

    The rate seroma within 3-years postoperatively

    Time frame: 3-years postoperatively

  5. Postoperative Outcome - Hematoma

    The rate of hematoma within 3-years postoperatively

    Time frame: 3-years postoperatively

  6. Postoperative Outcomes - Intra-abdominal abscess

    The rate of intra-abdominal abscess within 3-years postoperatively

    Time frame: 3-years postoperatively

  7. Postoperative Outcome - Wound cellulitis

    The rate of wound cellulitis within 3-years postoperatively

    Time frame: 3-years postoperatively

  8. Postoperative Outcome - Wound infection

    The rate of wound infection within 3-years postoperatively

    Time frame: 3-years postoperatively

  9. Postoperative Outcome - Superficial wound breakdown

    The rate of superficial wound breakdown within 3-years postoperatively

    Time frame: 3-years postoperatively

  10. Postoperative Outcomes - Mortality

    The rate of mortality within 3-years postoperatively

    Time frame: 3-years postoperatively

  11. Postoperative Outcomes - Length of stay

    The length of stay (LOS) in the hospital postoperatively

    Time frame: 3-years postoperatively

  12. Quality of Life (QOL)

    QOL within 3-years of surgery as measured by the Carolinas Comfort Scale (CCS), a validated hernia specific QOL questionnaire. The CCS has 23 questions across 3 domains (mesh sensation, pain, and movement) that are scored 0-5 and N/A. Higher scores indicate worse symptoms. A score of 2 or more in any category is considered "symptomatic"; a score of 0 or 1 is considered "asymptomatic". Data will be reported as the frequency and percentage of "symptomatic" or "asymptomatic" for each of the 3 domains.

    Time frame: 3-years postoperatively

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No — IPD will not be made available to other researchers.

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 4, 2025, 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
NCT05994248
Responsible party
Sponsor
First posted
Aug 16, 2023
Start date
Mar 2025 (estimated)
Primary completion
Jun 2029 (estimated)
Completion
Jun 2029 (estimated)
Last update
Jun 4, 2025

Study contacts

Todd Heniford, MD
principal investigator · Wake Forest University Health Sciences

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is withdrawn, as verified in May 2024. You cannot join it, but the record below documents what was studied.

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