Comparative Study of Modified Guarnieri-Desarda Technique Versus Lichtenstein Technique in Inguinal Hernia Repair
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Postoperative Pain Assessment
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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.
研究组 & 干预措施
Lichtenstein Mesh-Based Repair
Participants in this arm will undergo the Lichtenstein tension-free hernioplasty, which involves reinforcing the inguinal canal floor using a synthetic mesh. The mesh is fixed to the inguinal ligament and internal oblique aponeurosis, minimizing tension in the repair and reducing the risk of recurrence.
干预措施: Lichtenstein Mesh-Based Hernioplasty (Procedure)
Combined Modified Guarnieri-Desarda Tissue-Based Repair
Participants in this arm will receive the combined modified Guarnieri-Desarda tissue-based repair. This approach involves reconstructing the inguinal canal without the use of synthetic mesh, using the patient's own tissues to reinforce the canal and reduce tension. The technique combines aspects of both the Guarnieri and Desarda methods, aiming to preserve the natural physiology of the inguinal canal while providing tension-free repair.
干预措施: Combined Modified Guarnieri-Desarda Tissue-Based Hernioplasty (Procedure)
结局指标
主要结局
Postoperative Pain Assessment
时间窗: 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.
次要结局
- Incidence of Postoperative Complications(At 2 weeks, 1 month, and 3 months post-surgery.)
- Hernia Recurrence Rate(At 6 months and 1 year post-surgery.)
- Testicular Vascularity(At 3 months post-surgery.)
研究者
Fadi Fawzi Azmi Khalil
Residend of Surgery
Cairo University