Modified Guarnieri-Desarda Technique Versus Lichtenstein Technique in Inguinal Hernia Repair

Not Applicable

Recruiting

• Conditions: Inguinal Hernia

• Registration Number: NCT06595628
• Lead Sponsor: Cairo University

Brief Summary

The aim of this study is to compare the surgical outcome of both Lichnichtien tension free mesh hernioplasty of inguinal hernia and the combined modified Guarnieri Desarda technique in terms of postoperative pain, post operative complications (seroma, hematoma, wound infection), chronic inguinodenia, early recurrence and assessment of testicular vascularity and size by application of a testicular duplex and ultrasound.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2024-09-10
• Study First Submitted QC: 2024-09-12
• Study First Posted: 2024-09-19
• Study Start: 2024-10-10
• Status Verified: 2025-03
• Last Update Submitted: 2025-03-12
• Last Update Posted: 2025-03-14
• Primary Completion: 2025-10-01
• Study Completion: 2025-10-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Male
• Target Recruitment: 40

Inclusion Criteria

• Adult male patients aged 18 years or older.
• Patients diagnosed with non-complicated inguinal hernia (both direct and indirect).
• Patients able to provide written informed consent to participate in the study.

Exclusion Criteria

• Patients younger than 18 years old.
• Patients with complicated hernias (e.g., inflamed, obstructed, or strangulated hernias).
• Patients with a recurrent inguinal hernia.
• Patients with weak or thin external oblique aponeurosis (intraoperative findings).
• Patients with a history of prior surgery in the inguinal region.
• Patients who refuse to participate in the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Postoperative Pain Assessment	At 2 weeks, 1 month, 3 months, and 6 months post-surgery.	Postoperative pain will be evaluated using the Mankoski Pain Scale (0-10). Pain scores will be recorded at different time intervals to assess immediate and long-term postoperative pain, with scores from 0 to 2 considered negligible, and scores from 3 to 10 considered significant.

Secondary Outcome Measures

Name	Time	Method
Hernia Recurrence Rate	At 6 months and 1 year post-surgery.	The rate of hernia recurrence will be assessed through clinical examination and imaging, comparing recurrence between the Lichtenstein mesh-based repair group and the modified Guarnieri-Desarda tissue-based repair group.
Testicular Vascularity	At 3 months post-surgery.	Testicular vascularity will be evaluated using testicular duplex and ultrasound, comparing any changes pre- and post-surgery between the two groups.
Incidence of Postoperative Complications	At 2 weeks, 1 month, and 3 months post-surgery.	The occurrence of postoperative complications such as seroma, hematoma, wound infection, and testicular complications (e.g., hydrocele, cord induration) will be recorded and analyzed for each group.

Trial Locations

Locations (1)

Kasralainy; 🇪🇬 Cairo, Egypt