Comparing Modified Guarnieri-Desarda and Lichtenstein Techniques for Repairing Inguinal Hernia in Adult Men

What this Trial Is About

Researchers are comparing two surgical techniques for repairing inguinal hernias in adult male patients. The study evaluates the outcomes of the Lichtenstein tension-free mesh hernioplasty against the combined modified Guarnieri-Desarda tissue-based repair. The goal is to assess differences in postoperative pain, complications, chronic groin pain, early hernia recurrence, and testicular health using ultrasound and vascular assessments. One group will receive the Lichtenstein procedure, which uses a synthetic mesh fixed to the inguinal ligament and internal oblique aponeurosis to strengthen the repair site. The other group will undergo the combined modified Guarnieri-Desarda repair, which avoids synthetic mesh by reinforcing the inguinal canal using the patients own tissues, aiming to preserve natural anatomy and reduce tension. Both approaches aim to provide tension-free repair but use different methods. Participants will be monitored at multiple time points after surgery, including 2 weeks, 1 month, 3 months, 6 months, and 1 year. Researchers will assess postoperative pain, complications such as seroma, hematoma, and wound infection, hernia recurrence, and testicular vascularity and size through duplex ultrasound. This follow-up ensures thorough evaluation of both surgical techniques and their effects on recovery and testicular health.

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