Surgery
Conditions
Sponsors
Minia University Hospital
Eligibility
Sex/Gender
Male
Inclusion criteria
Inclusion criteria: • Male sex, age : 19-44 years. • Primary (first-time) unilateral inguinal hernia that is reducible on examination. • Scheduled elective open inguinal hernia repair with the Lichtenstein technique under spinal anesthesia. • Ability to provide informed consent and attend scheduled follow-up appointments for 6 months.
Exclusion criteria
Exclusion criteria: • Complicated hernia at presentation (irreducible/incarcerated/strangulated), need for emergency surgery, or concomitant femoral hernia. • Recurrent or bilateral inguinal hernia, giant inguinoscrotal hernia, or scheduled concomitant procedures. • Prior ipsilateral groin surgery that could modify anatomy or pain evaluation. • Current dermal or soft tissue infection at/near the surgery site or systemic disease at the time of surgery. • Chronic groin pain (=3 months) or opioid use. • Documented allergy to the mesh material or the study pain medications (paracetamol or diclofenac), or contraindication to NSAID use (e.g., severe renal impairment, active ulcer). • Inability to conduct follow-up (e.g., cognitive impairment, difficulty with questionnaires, or pending relocation).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative pain severity measured by Visual Analogue Scale (VAS 0–100) at postoperative day 1, 2 weeks, 2 months, 4 months, and 6 months (key comparison at 2 weeks), and incidence of chronic postoperative inguinal pain (CPIP) during follow-up (pain persisting =3 months, clinically significant threshold per protocol). | — |
Secondary
| Measure | Time frame |
|---|---|
| Health-related quality of life measured by SF-36 during follow-up. Operative time (minutes). Length of hospital stay. Time to return to work/normal activities. Postoperative complications (e.g., seroma, hematoma, wound infection). Hernia recurrence and/or reoperation during follow-up. Mesh-related symptoms: foreign-body sensation and numbness in the groin area. | — |
Countries
Egypt
Contacts
Public ContactMichael Remon Roshdy Tawadrous
General Surgery Department
Outcome results
None listed