Desarda's Technique Versus Lichtenstein's Technique Hernia Repair in Management of Elective Non-Complicated Inguinal Hernia

NCT ID: NCT06862167

Last Updated: 2025-03-06

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 200 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-08-15
• Study Completion Date: 2025-08-01

Brief Summary

This study aims to compare Desarda's technique and Lichtenstein's technique of hernia repair in managing elective, non-complicated inguinal hernia.

Detailed Description

Mesh prosthesis was introduced to hernial surgery as a magic solution for any inguinal hernia, and it has significant advantages (Simplicity of the procedure, Mesh is cheap, and has a low recurrence rate). Still, mesh induces fibrosis that can lead to stiffness and foreign body sensation, which become a source of agony for the patient. Mesh infection is one of the serious complications that can lead to the removal of the mesh and long-term terms morbidity from Lichtenstein hernia repairs, such as Vas entrapment and Chronic groin pain.

Desarda technique requires no extensive dissection or only suturing; no mesh is needed, and it is easy to learn. It is still ferrated and determined the optimum procedure to treat an inguinal hernia. It is a straightforward operation that avoids the risks of mesh implantation, has a low recurrence rate, and can be done by non-consultant staff.

Conditions

Desarda's Technique; Lichtenstein's Technique; Hernia Repair; Inguinal Hernia

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Desarda's technique group

Patients will undergo Desarda's technique.

Group Type: EXPERIMENTAL

Desarda's technique

Intervention Type: PROCEDURE

Patients will undergo Desarda's technique.

Lichtenstein's technique group

Patients will undergo Lichtenstein's technique.

Group Type: ACTIVE_COMPARATOR

Lichtenstein's technique

Intervention Type: PROCEDURE

Patients will undergo Lichtenstein's technique.

Interventions

Desarda's technique

Patients will undergo Desarda's technique.

Intervention Type: PROCEDURE

Lichtenstein's technique

Patients will undergo Lichtenstein's technique.

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Above 14 years of age.
• With reducible non-complicated inguinal or inguinoscrotal hernia; unilateral or bilateral

Exclusion Criteria

• Obstructive uropathy or chronic obstructive pulmonary disease because they are contraindications to elective hernia surgery. They are associated with definite poor outcomes, such as high recurrence rates.
• Unfit patients for surgery
• Patients with strangulated hernia.
• Recurrent Hernias.
• Per operative finding of separated, thin, and/or weak external oblique aponeurosis

• Minimum Eligible Age: 14 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Minia University

OTHER

Sponsor Role: lead

Responsible Party

Abdelrahman Mohamed Salah

Lecturer in General Surgery Department, Minia University, Minia, Egypt

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Minia University

Minya, Minya Governorate, Egypt

Site Status: RECRUITING

Countries

Egypt

Central Contacts

Abdelrahman M Salah, MD

Role: CONTACT

Abdelrahman.salah@mu.edu.eg

00201064746493

Facility Contacts

Abdelrahman M Salah, MD

Role: primary

Abdelrahman.salah@mu.edu.eg

01064746493

Other Identifiers

1240/08/2024

Identifier Type: -

Identifier Source: org_study_id