When and Why Desarda Repair

Inguinal Hernia Clinical Trial

Official title:

When and Why Desarda Repair

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05088824
• Other study ID #: Desarda
• Status: Not yet recruiting
• Start date: January 1, 2022
• Est. completion date: April 30, 2023

Study information

• Verified date: October 2021
• Source: Assiut University
• Contact: boshra N. boshra, resident
• Phone: 01283626403
• Email: boshranashaat4[@]gmail.com
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

One of the most significant subjects studied in abdominal wall surgery is inguinal hernia. Its management is very codified.

The main factors evaluating efficient hernia surgery are not only the rate of complications (recurrence and groin pain essentially) but also cost and time to return to normal activities.

Desarda technique is a non-mesh technique described first in 2001. This surgical technique uses a flap of external oblique aponeurosis in place of a mesh. Its singularity remains its low cost, no use of mesh, and less extensive dissection

Mesh repair has its own limitations; it is unphysiological as mesh is used. Chronic inguinal pain, seroma formation, foreign body sensation, risk of mesh infection are common complications and not recommended in strangulated hernias and extra cost involved by the mesh itself.

It involves use of undetached strip of external oblique aponeurosis to strengthen the posterior wall of the inguinal canal which is based on the physiological principles. This is a physiological repair and is tension free, can be used in strangulated hernia. Recurrence and complication rates equal to or less than Lichtenstein's repair. It's a simple procedure, early ambulation and less time of hospital stay, low cost for the patient as mesh is not used and most importantly no question of mesh related complications such as mesh rejection, infection, migration and foreign body sensation and chronic groin pain which is comparatively low in this procedure.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 30
• Est. completion date: April 30, 2023
• Est. primary completion date: December 31, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• primary inguinal hernia

• Aged 18 and above

• reducible inguinal or inguino-scrotal hernia

Exclusion Criteria:

• Obstructive uropathy or chronic obstructive pulmonary disease

• incarcerated hernia

• recurrent hernia

• bilateral hernia

• active infection at groin area

• pantalloon hernia

Related Conditions & MeSH terms

• Hernia, Inguinal
• Inguinal Hernia

Intervention

Procedure:
• hernia repair by desarda technique
It involves use of undetached strip of external oblique aponeurosis to strengthen the posterior wall of the inguinal canal which is based on the physiological principles. This is a physiological repair and is tension free, can be used in strangulated hernia

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	postoperative hospital stay	the duration of postoperative hospital stay	6 month
Primary	chronic pain	the patient will be assed for the presence of feeling of pain after the procedure or not	6 months
Primary	recurrence	the patient will be followed up for recurrence of hernia in the same place by clinical examination	6 months