Comparison of Hernia Sac Ligation Versus Invagination

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

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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