Retrospective Comparative Cohort Analysis of Darn and Lichtenstein Repair Methods for Bilateral Inguinal Hernias in Adult Males in a Low-Resource Setting: a Single-Centre Study in Sudan
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 75
- Locations
- 1
- Primary Endpoint
- Hernia Recurrence Rates
Study Overview
Brief Summary
This retrospective study evaluates the efficacy of Darn versus Lichtenstein repair methods in treating bilateral inguinal hernias in adult males within a low-resource setting in Sudan. The study aims to determine which surgical technique results in better postoperative outcomes, focusing on complication rates, recurrence, and recovery times. Data for this analysis will be sourced from medical records of patients who underwent these procedures between January 2021 and October 2023 at Al-Waleedeen Specialized Hospital.
Detailed Description
Study Design and Setting
This is a retrospective comparative cohort study undertaken at Al-Waleedeen Specialized Hospital, a governmental tertiary care center in Gezira State, Sudan. The study period spans from January 2021 to October 2023, involving adult males diagnosed with bilateral inguinal hernias.
Study Procedures
Medical records will be systematically reviewed to extract data on surgical technique employed-either Darn or Lichtenstein method. The review will document specific procedural details such as the type of anesthesia used, duration of the surgeries, surgical team composition, and intraoperative management techniques. Information on immediate postoperative care will also be collected, focusing on pain management strategies and mobilization protocols.
Data Collection
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Retrospective
Eligibility Criteria
- Ages
- 16 Years to 85 Years (Child, Adult, Older Adult)
- Sex
- Male
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Male patients aged 16 to 85 years. Diagnosed with bilateral primary direct or indirect inguinal hernias. Underwent open elective repairs using either the Lichtenstein or Darn method.
Exclusion Criteria
- •Patients with recurrent hernias. Female patients. Patients with unilateral hernias. Those undergoing laparoscopic or emergency surgery. Patients with poorly controlled diabetes (A1C > 7). Patients diagnosed with cancer, tuberculosis. Patients with giant inguinoscrotal hernias.
Outcomes
Primary Outcomes
Hernia Recurrence Rates
Time Frame: Up to 3 months post-surgery .
Number of patients with recurrence of hernia after initial repair. Unit of Measure: Percentage of total patients.
Complication Rates
Time Frame: Up to 3 months post-surgery
Number of patients experiencing postoperative complications. Unit of Measure: Percentage of total patients.
Secondary Outcomes
- Postoperative Pain Level(Assessed at 24 hours, 72 hours, and 1 week post-surgery.)
- Duration of Hospital Stay(From date of surgery to discharge, within 30 days post-surgery)
- Recovery Times(Assessed at 2 weeks, 1 month, and 3 months post-surgery.)
Investigators
Alsadig Suliman
General surgery
Federal Ministry of Health, Sudan