Modified Guarnieri-Desarda Technique Versus Lichtenstein Technique in Inguinal Hernia Repair
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Lichtenstein Mesh-Based Hernioplasty, Combined Modified Guarnieri-Desarda Tissue-Based Hernioplasty.
- Who it may be relevant to
- Registry conditions: Inguinal Hernia. Basic parameters: from 18 years · Male.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Comparative Study of Modified Guarnieri-Desarda Technique Versus Lichtenstein Technique in Inguinal Hernia Repair
Overview
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.
Interventions
- Procedure Lichtenstein Mesh-Based Hernioplasty
This is a tension-free hernioplasty procedure that uses a synthetic mesh to reinforce the inguinal canal floor. The mesh is fixed to the inguinal ligament and internal oblique aponeurosis, creating a barrier to prevent hernia recurrence. It is considered the gold standard for inguinal hernia repair and is widely used for its effectiveness in reducing recurrence rates and postoperative complications. - Procedure Combined Modified Guarnieri-Desarda Tissue-Based Hernioplasty
This technique combines elements of the Guarnieri and Desarda tissue-based repairs. It does not involve the use of synthetic mesh, relying instead on the patient's own tissues to reinforce the inguinal canal. The Guarnieri technique reshapes the internal ring to improve the inguinal canal's shutter mechanism, while the Desarda technique reinforces the posterior wall using the external oblique aponeurosis. This approach aims to preserve natural anatomy and minimize complications associated with m
Primary outcome measures
- Postoperative Pain Assessment [Time frame: At 2 weeks, 1 month, 3 months, and 6 months post-surgery.]
Secondary outcome measures (3)
- Incidence of Postoperative Complications [Time frame: At 2 weeks, 1 month, and 3 months post-surgery.]
- Hernia Recurrence Rate [Time frame: At 6 months and 1 year post-surgery.]
- Testicular Vascularity [Time frame: At 3 months post-surgery.]
Eligibility criteria
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.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Prevention
Study locations
Egypt · 1 center
- Kasralainy — Cairo
Identifiers
NCT: NCT06595628 · MD-255-2022