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

Not Applicable

Completed

• Conditions: Wound Complication; Postoperative Pain; Recurrence
• Interventions: Procedure: Desarda repair

• Registration Number: NCT04850131
• Lead Sponsor: Benazir Bhutto Hospital, Rawalpindi

Brief 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.

Detailed Description

Not available

Study Timeline

• Study Start: 2019-05-01
• Primary Completion: 2020-03-30
• Study Completion: 2021-03-30
• Status Verified: 2021-04
• Study First Submitted: 2021-04-10
• Study First Submitted QC: 2021-04-14
• Last Update Submitted: 2021-04-14
• Study First Posted: 2021-04-20
• Last Update Posted: 2021-04-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 82

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Desarda	Desarda repair	Forty-one patients who were randomly assigned to the Desarda group underwent the Desarda repair for their problem. Patients were followed for various data point values during operation, immediately after the operation, and for a period of one year post-operatively.
Lichtenstein	Desarda repair	Forty-one patients randomly assigned to the Lichtenstein group underwent the standard mesh repair and were followed for the same data point values and variables for the same specified period of time.

Primary Outcome Measures

Name	Time	Method
Postoperative pain	3 months after the primary surgery	Measured on Visual analogue scale (VAS) where 0 meaning no pain and 10 means worst pain
Recurrence	Within 01 year of the primary surgery	Described as reappearance of the inguinal hernia on the operated side

Secondary Outcome Measures

Name	Time	Method
Wound complication	Complications occuring within 30 days after the surgery	Described as number of patients developing the wound complications like seroma , hematoma formation and surgical site infection.

Trial Locations

Locations (1)

Benazir Bhutto Hospital Rawalpindi; 🇵🇰 Rawalpindi, Punjab, Pakistan