When and Why Desarda Repair

NCT ID: NCT05088824

Last Updated: 2021-10-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

30 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-01-01

Study Completion Date

2023-04-30

Brief Summary

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One of the most significant subjects studied in abdominal wall surgery is inguinal hernia. Its management is very codified.

The main factors evaluating efficient hernia surgery are not only the rate of complications (recurrence and groin pain essentially) but also cost and time to return to normal activities.

Desarda technique is a non-mesh technique described first in 2001. This surgical technique uses a flap of external oblique aponeurosis in place of a mesh. Its singularity remains its low cost, no use of mesh, and less extensive dissection

Mesh repair has its own limitations; it is unphysiological as mesh is used. Chronic inguinal pain, seroma formation, foreign body sensation, risk of mesh infection are common complications and not recommended in strangulated hernias and extra cost involved by the mesh itself.

It involves use of undetached strip of external oblique aponeurosis to strengthen the posterior wall of the inguinal canal which is based on the physiological principles. This is a physiological repair and is tension free, can be used in strangulated hernia. Recurrence and complication rates equal to or less than Lichtenstein's repair. It's a simple procedure, early ambulation and less time of hospital stay, low cost for the patient as mesh is not used and most importantly no question of mesh related complications such as mesh rejection, infection, migration and foreign body sensation and chronic groin pain which is comparatively low in this procedure.

Detailed Description

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Conditions

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Inguinal Hernia

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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patients diagnosed with oblique inguinal hernia

hernia repair by desarda technique

Intervention Type PROCEDURE

It involves use of undetached strip of external oblique aponeurosis to strengthen the posterior wall of the inguinal canal which is based on the physiological principles. This is a physiological repair and is tension free, can be used in strangulated hernia

Interventions

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hernia repair by desarda technique

It involves use of undetached strip of external oblique aponeurosis to strengthen the posterior wall of the inguinal canal which is based on the physiological principles. This is a physiological repair and is tension free, can be used in strangulated hernia

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* primary inguinal hernia
* Aged 18 and above
* reducible inguinal or inguino-scrotal hernia

Exclusion Criteria

* Obstructive uropathy or chronic obstructive pulmonary disease
* incarcerated hernia
* recurrent hernia
* bilateral hernia
* active infection at groin area
* pantalloon hernia
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Boshra Nashaat

resident doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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boshra N. boshra, resident

Role: CONTACT

01283626403 ext. +2

Other Identifiers

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Desarda

Identifier Type: -

Identifier Source: org_study_id