Modified Guarnieri-Desarda Technique Versus Lichtenstein Technique in Inguinal Hernia Repair

Cairo University (CU)

Status: Enrolling

Conditions: Inguinal Hernia

Treatments: Procedure: Combined Modified Guarnieri-Desarda Tissue-Based Hernioplasty; Procedure: Lichtenstein Mesh-Based Hernioplasty

Study type: Interventional

Funder types: Other

Identifiers

NCT06595628

MD-255-2022

Details and patient eligibility

About

The aim of this study is to compare the surgical outcome of both Lichnichtien tension free mesh hernioplasty of inguinal hernia and the combined modified Guarnieri Desarda technique in terms of postoperative pain, post operative complications (seroma, hematoma, wound infection), chronic inguinodenia, early recurrence and assessment of testicular vascularity and size by application of a testicular duplex and ultrasound.

Enrollment: 40 estimated patients

Sex: Male

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult male patients aged 18 years or older.
• Patients diagnosed with non-complicated inguinal hernia (both direct and indirect).
• Patients able to provide written informed consent to participate in the study.

Exclusion criteria

• Patients younger than 18 years old.
• Patients with complicated hernias (e.g., inflamed, obstructed, or strangulated hernias).
• Patients with a recurrent inguinal hernia.
• Patients with weak or thin external oblique aponeurosis (intraoperative findings).
• Patients with a history of prior surgery in the inguinal region.
• Patients who refuse to participate in the study.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Lichtenstein Mesh-Based Repair

Active Comparator group

Description:

Participants in this arm will undergo the Lichtenstein tension-free hernioplasty, which involves reinforcing the inguinal canal floor using a synthetic mesh. The mesh is fixed to the inguinal ligament and internal oblique aponeurosis, minimizing tension in the repair and reducing the risk of recurrence.

Treatment:

Procedure: Lichtenstein Mesh-Based Hernioplasty

Combined Modified Guarnieri-Desarda Tissue-Based Repair

Experimental group

Description:

Participants in this arm will receive the combined modified Guarnieri-Desarda tissue-based repair. This approach involves reconstructing the inguinal canal without the use of synthetic mesh, using the patient's own tissues to reinforce the canal and reduce tension. The technique combines aspects of both the Guarnieri and Desarda methods, aiming to preserve the natural physiology of the inguinal canal while providing tension-free repair.

Treatment:

Procedure: Combined Modified Guarnieri-Desarda Tissue-Based Hernioplasty