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Completed

NCT Number: NCT04850131

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

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.

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Key information

Conditions

Postoperative Pain Disease Attributes Neurologic Manifestations Pain Pain, Postoperative Pathologic Processes Pathological Conditions, Signs and Symptoms Postoperative Complications Recurrence Signs and Symptoms Wound Complication

Age range

20 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Benazir Bhutto Hospital Rawalpindi

Rawalpindi, Punjab Province, 46000, Pakistan

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients of age between 20 to 70years
  • A primary inguinal hernia
  • Consented to participate in the research.

Exclusion criteria

  • Age below 20,
  • Recurrent and pantaloons hernia
  • Patients who did not give the informed consent
  • Patients who lose the follow-up

Treatment and study plan

Desarda repair

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

Other names: Lichtenstein repair

Primary outcomes

  1. Postoperative pain

    Time frame: 24 hours after the surgery

    Measured on Visual analogue scale (VAS) where 0 meaning no pain and 10 means worst pain

  2. Postoperative pain

    Time frame: 3 months after the primary surgery

    Measured on Visual analogue scale (VAS) where 0 meaning no pain and 10 means worst pain

  3. Recurrence

    Time frame: Within 01 year of the primary surgery

    Described as reappearance of the inguinal hernia on the operated side

Secondary outcomes

  1. Wound complication

    Time frame: 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.

Sponsors and collaborators

Lead sponsor

Benazir Bhutto Hospital, Rawalpindi

Other Gov

Registry information

Official study title

Mesh Free Desarda Repair Compared With Lichtenstein Repair for the Treatment of Primary Inguinal Hernias

Important dates

Study start
2019
Primary completion
2020
Study completion
2021
First posted
Apr 20, 2021
Registry last updated
Apr 20, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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