Desarda's Technique Versus Lichtenstein's Technique Hernia Repair in Management of Elective Non-Complicated Inguinal Hernia

Minia University

Status: Enrolling

Conditions: Lichtenstein's Technique; Hernia Repair; Desarda's Technique; Inguinal Hernia

Treatments: Procedure: Lichtenstein's technique; Procedure: Desarda's technique

Study type: Interventional

Funder types: Other

Identifiers

NCT06862167

1240/08/2024

Details and patient eligibility

About

This study aims to compare Desarda's technique and Lichtenstein's technique of hernia repair in managing elective, non-complicated inguinal hernia.

Full 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.

Enrollment: 200 estimated patients

Sex: All

Ages: 14+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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200 participants in 2 patient groups

Desarda's technique group

Experimental group

Description:

Patients will undergo Desarda's technique.

Treatment:

Procedure: Desarda's technique

Lichtenstein's technique group

Active Comparator group

Description:

Patients will undergo Lichtenstein's technique.

Treatment:

Procedure: Lichtenstein's technique