Desarda Repair Compared to Lichtenstein Repair for the Treatment of Inguinal Hernias

Postoperative Pain Clinical Trial

Official title:

Mesh Free Desarda Repair Compared With Lichtenstein Repair for the Treatment of Primary Inguinal Hernias

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04850131
• Other study ID #: 274/IREF\RMU\2020
• Status: Completed
• Phase: N/A
• Start date: May 1, 2019
• Est. completion date: March 30, 2021

Study information

• Verified date: April 2021
• Source: Benazir Bhutto Hospital, Rawalpindi
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The Lichtenstein technique for hernia repair is safe and simple, but the underlying mesh prosthesis has its setbacks, as it acts as a mechanical barrier5. The mesh does not provide mobile and the physiologically dynamic posterior wall. The most dangerous complication associated with the mesh prosthesis is its migration from the abdominal cavity's primary implantation site. The relatively knew technique developed by Dr. Desarda does not utilize the synthetic mesh rather it uses a strip of external oblique aponeurosis to strengthen the posterior wall. Our study has compared the two methods regarding various aspects.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 82
• Est. completion date: March 30, 2021
• Est. primary completion date: March 30, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 20 Years to 70 Years

Eligibility

Inclusion Criteria:

1. Patients of age between 20 to 70years

2. A primary inguinal hernia

3. Consented to participate in the research.

Exclusion Criteria:

1. Age below 20,

2. Recurrent and pantaloons hernia

3. Patients who did not give the informed consent

4. Patients who lose the follow-up

Related Conditions & MeSH terms

• Hernia, Inguinal
• Postoperative Pain
• Recurrence
• Wound Complication

Intervention

Procedure:
• Desarda repair
Desarda is a new tissue-based technique developed from applying the externally oblique muscle aponeurosis in the form of an undetached strip making the posterior wall in the inguinal canal stiffer. This paper focuses on analyzing comparisons between mesh-free Desarda repair and the Lichtenstein technique for the treatment of hernia inguinalis

Locations

Country	Name	City	State
Pakistan	Benazir Bhutto Hospital Rawalpindi	Rawalpindi	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Benazir Bhutto Hospital, Rawalpindi

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Postoperative pain	Measured on Visual analogue scale (VAS) where 0 meaning no pain and 10 means worst pain	24 hours after the surgery
Primary	Postoperative pain	Measured on Visual analogue scale (VAS) where 0 meaning no pain and 10 means worst pain	3 months after the primary surgery
Primary	Recurrence	Described as reappearance of the inguinal hernia on the operated side	Within 01 year of the primary surgery
Secondary	Wound complication	Described as number of patients developing the wound complications like seroma , hematoma formation and surgical site infection.	Complications occuring within 30 days after the surgery