Comparison of Hernia Sac Ligation Versus Invagination

S

Samsun Education and Research Hospital

Status

Completed

Conditions

Postoperative Pain
Hernia, Inguinal
Recurrence

Treatments

Procedure: Lichtenstein Mesh Hernioplasty

Study type

Interventional

Funder types

Other

Identifiers

NCT05308251
SamsunERH2020

Details and patient eligibility

About

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.

Enrollment

108 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

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

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

108 participants in 2 patient groups

high ligation
Active Comparator group
Description:
High ligation of the indirect hernia sac is traditional in inguinal hernia repairs. In this arm, patients with indirect inguinal hernia undergoing open mesh herniorrhaphy will have their hernia sac was opened and high ligated.
Treatment:
Procedure: Lichtenstein Mesh Hernioplasty
non-ligation
Experimental group
Description:
In this arm, the patients' hernia sac will be dissected high but not opened or ligated. The sac will be invaginated to the abdomen.
Treatment:
Procedure: Lichtenstein Mesh Hernioplasty

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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