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Inguinal hernia management: operation or observation? A randomised controlled multicentre trial

Completed
Conditions
Hernia Inguinal
Digestive System
Inguinal hernia
Registration Number
ISRCTN31866667
Lead Sponsor
Erasmus Medical Centre (Netherlands)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Male
Target Recruitment
800
Inclusion Criteria

1. Unilateral inguinal hernia
2. Males
3. Medial or lateral inguinal hernia
4. Aged greater than or equal to 50 years
5. Description I or II of pain or discomfort interfering with daily activity
6. Primary or recurrent inguinal hernia
7. Informed consent (addendum V)

Exclusion Criteria

1. Gender: female
2. Bilateral inguinal hernia
3. Femoral hernia
4. Description III or IV of pain or discomfort interfering with daily activity
5. Acute hernia complication (bowel obstruction, incarceration, strangulation, peritonitis or perforation)
6. Patient classified as American Society of Anaesthesiologist Class 4
7. Scrotal hernia (cannot be corrected laparoscopically)
8. Patient is unable to speak Dutch
9. Physical activity: patient travels regularly during which professional medical help is not always accessible
10. Inguinal hernia not apparent during ultrasonography

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The mean of 4 pain/discomfort scores during a follow-up period of 3 years.
Secondary Outcome Measures
NameTimeMethod
Quality adjusted life years (QALY) with quality weights measured with the EuroQol and in a sensitivity analysis with a transformed 36-item short form (SF-36) utility weight, medical and non-medical costs and event-free survival at 2 years.
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