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Enrolling by invitation NCT07627425

STAPLES VERSUS SUTURES FOR MESH FIXATION IN LICHTENSTEIN HERNIOPLASTY: A RANDOMIZED CONTROLLED TRIAL EVALUATING POSTOPERATIVE OUTCOMES IN INGUINAL HERNIA PATIENTS

No phase Interventional Inguinal Hernia Unilateral

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: Mesh fixation with Staples, Mesh Fixation with Sutures.
Who it may be relevant to
Registry conditions: Inguinal Hernia Unilateral. Basic parameters: 18 years — 75 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
Pakistan
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Overview

The study is aimed at comparing postoperative complications between two different techniques of mesh fixation in lichtenstein inguinal hernia repair.

Detailed description

The two techniques of mesh fixation include sutures and staples.

Interventions

  • Procedure Mesh fixation with Staples
    2 staples will be applied directly over the pubic tubercle, while 3-4 staples will be used to fix the mesh over the inguinal ligament 1-2cm apart. Another 2-3 staples will secure the mesh to the conjoint tendon, and 1 staple lateral to the cord at the deep ring.
  • Procedure Mesh Fixation with Sutures
    Polypropylene sutures will be used to fix the mesh, with continuous suturing over the pubic tubercle and inguinal ligament, and interrupted suturing along the posterior wall and deep ring.

Primary outcome measures

  • Inguinodynia [Time frame: 3 and 6 months postoperatively]
  • Surgical site infection [Time frame: within 30 days of surgery]
  • Wound Hematoma [Time frame: Within 30 days postoperatively]
  • Wound Seroma [Time frame: within 30 days postoperatively]
  • Scrotal edema/hematoma [Time frame: within 30 days postoperatively]
Secondary outcome measures (2)
  • Hernia recurrence [Time frame: Within 6 months of surgery.]
  • Operative time [Time frame: During procedure]

Eligibility criteria

Inclusion criteria

  • Adult male patients aged 18-75 years with uncomplicated unilateral inguinal hernia undergoing elective open Lichtenstein mesh repair

Exclusion criteria

  • Recurrent hernias
  • ASA (American Society of Anaesthesiologists) class III or greater
  • Patients with active obstructive lower urinary tract symptoms
  • Accidental per-operative nerve injury

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
Double blind
Primary purpose
Treatment

Study locations

Pakistan · 1 center
  • Sindh |nstitute of Urology and Transplantation — Karachi

Identifiers

NCT: NCT07627425 · SIUT-ERC-2025/A-582

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗