Actively Recruiting
Comparative Study of Modified Guarnieri-Desarda Technique Versus Lichtenstein Technique in Inguinal Hernia Repair
Led by Cairo University · Updated on 2025-03-14
40
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
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 patient's 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.
CONDITIONS
Brief Title
Modified Guarnieri-Desarda Technique Versus Lichtenstein Technique in Inguinal Hernia Repair
Who Can Participate
Eligibility Criteria
You may qualify if you...
- 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
You will not qualify if you...
- 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
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 1 day or until discharge
Participants undergo either the Modified Guarnieri-Desarda tissue-based repair or the Lichtenstein mesh-based hernioplasty for inguinal hernia repair.
1 surgery visit
Duration - 6 months to 1 year
Participants are monitored for postoperative pain, complications, and recovery after surgery.
Visits at 2 weeks, 1 month, 3 months, 6 months, and 1 year post-surgery
Trial Site Locations
Total: 1 location
1
Kasralainy
Cairo, Egypt
Actively Recruiting
Research Team
F
Fadi F. Khalil, MSc
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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