None listed
Conditions
Brief summary
Aft er the great invention of tension free mesh repair, criteria of success of inguinal hernia repair have changed. One of the most important parameters is chronic pain that begins after hernioplasty and persists aft er 3 months of the operation, with an incidence ranging from 1% to 19%. The aim of this study is to evaluate the self gripping mesh compared to standard polypropylene mesh in treating primary inguinal hernia in adult males in terms of chronic post operative pain.
Interventions
Lichtenstein procedure; semi-absorbable self fixating mesh
“ParietexProgrip Trademark Mesh” (12X8 cm) is applied over the fascia transversalis after herniotomy and narrowing of the deep ring. For application of the mesh, anatomy around the spermatic
cord should be clear. The flap of the mesh is opened and closed loosely around the spermatic cord. The mesh was presented with the self gripping surface facing the tissues. Mesh is applied from medial side exceeding one centimeter
of the pubic bone f
Lichtenstein procedure; semi-absorbable self fixating mesh “ParietexProgrip Trademark Mesh” (12X8 cm) is applied over the fascia transversalis after herniotomy and narrowing of the deep ring. For application of the mesh, anatomy around the spermatic cord should be clear. The flap of the mesh is opened and closed loosely around the spermatic cord. The mesh was presented with the self gripping surface facing the tissues. Mesh is applied from medial side exceeding one centimeter of the pubic bone first then was spread on the surrounding tissue around the spermatic cord starting by spreading the cranial part and lastly fixing the lower part to inguinal ligament. No sutures were used for fixation of the mesh. Care was taken to avoid folding the mesh. Trimming small part of the mesh may be needed to achieve the non folding. We completed the procedure by closing the external spermatic fascia and the skin. Procedure duration is about (60 - 120 minutes)
Sponsors
King Khalid University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
Male
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
male patients with primary inguinal hernia classified as Gilbert III or IV
Exclusion criteria
patients with complicated hernia, and or with persistant predisposing factor of hernia (chronic cough or ascites,...etc) that could not be treated preoperatively
Outcome results
None listed