Hernia, Inguinal, Postoperative Pain, Recurrence
Conditions
Keywords
indirect hernia sac, ligation, invagination
Brief summary
Management of indirect hernial sac in inguinal hernia repairs has long been a subject of debate among general surgeons. Although hernial sac high ligation (HL) is a time-honored concept in groin hernia surgery, non-ligation/invagination is gaining more popularity. The aim of this study is to compare the effects of hernia sac ligation and invagination in patients with Lichtenstein mesh hernioplasty (LMH). Also, investigators aimed to investigate the possible association between the hernial defect size and postoperative early pain in both groups.
Interventions
PROCEDURELichtenstein Mesh Hernioplasty
The inguinal canal was opened and the hernia sac was dissected from the spermatic cord The deep inguinal ring was tightened with one or two polypropylene 2/0 sutures. The posterior wall of the inguinal canal was supported using the standard polypropylene mesh and fixed with 2/0 polyproline. The ilioinguinal nerve, iliohypogastric nerve, and genital branch of the genitofemoral nerve were preserved and care was taken to prevent entrapment.
Sponsors
Samsun Education and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* unilateral uncomplicated indirect hernia * elective operations * spinal anesthesia
Exclusion criteria
* Bilateral hernias * recurrent cases * femoral-scrotal hernias * those who refused to give consent * those who were given general anesthesia besides spinal anesthesia * those who were repaired with a method other than Lichtenstein mesh hernioplasty
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative pain levels | postoperative period before discharge-1 year after discharge | 10-point Visual Analogue Scale (VAS) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postoperative complications | postoperative period before discharge (mainly the first 24 hours) | hematoma, seroma, wound infection, urinary retention |
| perioperative outcomes | postoperative period before discharge (mainly the first 24 hours) | operative time (minutes), hospital stay (days) |
| recurrence | postoperative 1 year | Number of patients with hernia recurrence |
Countries
Turkey (Türkiye)
Outcome results
None listed