Non-Mesh Versus Mesh Method for Inguinal Hernia Repair (IHR)

Makerere University

Status

Unknown

Conditions

Hernia, Inguinal

Treatments

Procedure: Non-mesh Hernia Repair

Procedure: Mesh Hernia Repair

Study type

Interventional

Funder types

Other

Identifiers

NCT00941941

2006/HD11/6219U

REC REF 2009-080

Details and patient eligibility

About

The study aims at establishing the effectiveness of the non-mesh (Desarda) technique for the treatment of primary inguinal hernias at Mulago Hospital in Uganda. First developed and used in India, the Desarda method is reported to offer superior outcomes such as minimal postoperative groin pain and near zero recurrence rates. In comparison to the mesh-based repairs, it is a simple and affordable technique suitable for the resource-constrained communities. It is devoid of complications associated with foreign body implants. Early clinical outcomes which include acute groin pain, time to resumption of normal gait, operative time and complications will be assessed. Participants will be followed at 2 hours, 3 days, 7 days and 14 days postoperatively.

The investigators hypothesize that the mean postoperative acute groin pain score, or the mean postoperative day of return to normal gait is different in adult patients who undergo the non-mesh (Desarda) repair from what it is in those who undergo the mesh (Lichtenstein) technique of hernia repair.

Enrollment

98 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Aged 18 and above;
with a primary, reducible inguinal or inguino-scrotal hernia;
who consent to participate in the study;
who have a telephone contact.

Exclusion criteria

Giant inguino-scrotal hernias;
Obstructive uropathy or chronic obstructive pulmonary disease;
Impaired mental state and are unable to give an accurate assessment of the key outcomes of the operation.