Inguinal Hernia Clinical Trial
Official title:
Comparison of Cousin Biotech® Adhesix™ Versus Conventional Mesh in Open Anterior Inguinal Hernia Repair: a Multi-centre, Randomised, Double-blinded, Controlled Clinical Trial.
Inguinal hernia repair coincides with a high rate of postoperative pain, extending to over a
year in 10-20% of patients. Although this is of major concern, early postoperative pain also
has an important impact on patients and their ability to regain normal work and activities.
Since inguinal hernia repair is the most frequently performed operation worldwide, a small
reduction in loss of workdays can already have significant impact on financial issues. As for
the origin of the pain, it might be the result of local inflammation caused by the mesh
material, but also by nerve entrapment due to fixation techniques. The development of a new
mesh which enables sutureless fixation, Cousin Biotech® Adhesix™, may overcome pain related
to fixation techniques used in the open hernia repair procedure according to Lichtenstein.
Furthermore, the Cousin Biotech® Adhesix™ mesh has already been in use in our institutions
and surgeons familiarized themselves with the application.
The investigators would like to conduct a multicentre randomised controlled clinical trial to
compare the difference in early postoperative pain after unilateral primary inguinal hernia
repair in males. The procedures will be performed in day surgery. Early postoperative pain is
defined as the pain during the first month, with a special interest in the first two weeks.
In addition, the investigators want to measure the possible benefit in terms of time to
return to work, daily activities, quality of life, operation length, complications and long
term postoperative pain.
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