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

NCT ID: NCT04850131

Last Updated: 2021-04-20

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 82 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-05-01
• Study Completion Date: 2021-03-30

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.

Conditions

Postoperative Pain; Recurrence; Wound Complication

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Desarda

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.

Group Type: ACTIVE_COMPARATOR

Desarda repair

Intervention Type: PROCEDURE

Desarda is a new tissue-based technique developed from applying the externally oblique muscle aponeurosis in the form of an undetached strip making the posterior wall in the inguinal canal stiffer. This paper focuses on analyzing comparisons between mesh-free Desarda repair and the Lichtenstein technique for the treatment of hernia inguinalis

Lichtenstein

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.

Group Type: ACTIVE_COMPARATOR

Desarda repair

Intervention Type: PROCEDURE

Desarda is a new tissue-based technique developed from applying the externally oblique muscle aponeurosis in the form of an undetached strip making the posterior wall in the inguinal canal stiffer. This paper focuses on analyzing comparisons between mesh-free Desarda repair and the Lichtenstein technique for the treatment of hernia inguinalis

Interventions

Desarda repair

Desarda is a new tissue-based technique developed from applying the externally oblique muscle aponeurosis in the form of an undetached strip making the posterior wall in the inguinal canal stiffer. This paper focuses on analyzing comparisons between mesh-free Desarda repair and the Lichtenstein technique for the treatment of hernia inguinalis

Intervention Type: PROCEDURE

Other Intervention Names

Lichtenstein repair

Eligibility Criteria

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

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Benazir Bhutto Hospital, Rawalpindi

OTHER_GOV

Sponsor Role: lead

Responsible Party

Muhammad Usman Ghani

SENIOR REGISTRAR SURGERY

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

MUHAMMAD USMAN GHANI, FCPS

Role: PRINCIPAL_INVESTIGATOR

BENAZIR BHUTTO HOSPITAL

Locations

Benazir Bhutto Hospital Rawalpindi

Rawalpindi, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

274/IREF\RMU\2020

Identifier Type: -

Identifier Source: org_study_id