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Spinal versus General Anaesthesia in Surgery for Inguinodynia: a Randomized Controlled Trial

Recruiting
Conditions
Chronic inguinodynia
Registration Number
NL-OMON25028
Lead Sponsor
Máxima Medical Center Veldhoven/Eindhoven
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
190
Inclusion Criteria

Patients aged >18 years suspected for a groin pain syndrome (based on patient history, physical examination and diagnostic injection (10cc lidocaine 1-2% with or without corticosteroids);
Persistent groin pain ≥3 months;
Unacceptable pain levels (subjective by patient) despite one or several injections with local anaesthetics or other conservative treatments;
Groin pain with origin in one of the three inguinal nerves or inserted mesh;
Neurectomy and/or meshectomy by an open approach;
Informed consent obtained.

Exclusion Criteria

Groin pain caused by intercostal neuralgia (lower abdominal cutaneous nerve entrapment syndrome (ACNES));
Involvement of the lateral femoral cutaneous nerve;
Pregnancy;
Contra-indications for general or spinal anesthesia;
Indication for retroperitoneal neurectomy;
Cognitive impairment;
Malignancy;
Previous remedial surgery on same site in MMC;
Bilateral groin pain sugery;
ASA class >III;
Pre-existant neurological deficiency;
Inability to speak or understand the Dutch language.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Effect of type of anaesthesia on pain relief (using Numerical Rating Scale) after remedial surgery
Secondary Outcome Measures
NameTimeMethod
Effect of type of anaesthesia on:<br /><br>1. quality of life (using Short Form Health Survery-12)<br /><br>2. patient satisfaction<br /><br>3. differences in pain medication <br /><br>4. direct and indirect medical costs<br /><br>5. complication rate
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