Modified Guarnieri-Desarda Technique Versus Lichtenstein Technique in Inguinal Hernia Repair
Comparative Study of Modified Guarnieri-Desarda Technique Versus Lichtenstein Technique in Inguinal Hernia Repair
Cairo University
40 participants
Oct 10, 2024
INTERVENTIONAL
Conditions
Summary
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.
Eligibility
Inclusion Criteria3
- 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 Criteria6
- 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.
Interested in this trial?
Get notified about updates and connect with the research team.
Interventions
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.
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 mesh use.
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06595628