Desarda's Technique, Hernia Repair, Inguinal Hernia, Lichtenstein's Technique
Conditions
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.
Interventions
PROCEDUREDesarda's technique
Patients will undergo Desarda's technique.
PROCEDURELichtenstein's technique
Patients will undergo Lichtenstein's technique.
Sponsors
Minia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
14 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of postoperative complications | 1 year postoperatively | Incidence of postoperative complications such as groin pain, hemorrhage, orchitis, testicular atrophy, and seroma will be recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time till stop of postoperative analgesic | 30 days postoperatively | Stop of postoperative analgesic (Within 3 days, 3 to 6 days, More than 6 days) |
| Return to normal activity | 30 days postoperatively | Return to normal activity will be recorded from 1 to 7 days, 8 to 15 days, and 16 to 30 days postoperatively. |
| Incidence of recurrence | 1 year postoperatively | Incidence of recurrence will be recorded within 1 year postoperatively |
Countries
Egypt
Outcome results
None listed