Suture Repair vs Mesh Repair in the Treatment of Incarcerated Groin Hernia in Elderly Populations

NCT05966285 | Unknown DMC

• 1 other identifier: Huadong Hospital to FDU
• Study Type: observational
• Target: 70
• Locations: 0 countries
• Sites: N/A

Brief Summary

Purpose: Tension-free hernia repair is the gold standard for groin hernia repair. However, there is no consensus on the optimal surgical treatment for incarcerated groin hernia in elderly populations, The aim of this study was to compare the clinical efficacy of mesh repair and suture repair in the treatment of incarcerated groin hernia in elderly patients. Methods: Patients ≥65 years who underwent urgent surgical groin hernia repair from January 2015 to June 2022 will be included. Patient demographic data and short-term and long-term postoperative outcomes will be retrospectively analyzed.

Conditions

Incarcerated Groin Hernia

Keywords

Incarcerated groin hernia; Emergency

Outcome Measures

Primary Outcomes (1)

• Recurrence

  Recurrence is determined by physical examination or the patient's subjective perceptions

  at least one year

Secondary Outcomes (5)

• length of hospital stay

  up to 3 months

• length of ICU stay

  up to 3 months

• surgery-related death

  within 30 days after surgery

• surgical site infection

  within 30 days after surgery

• overall complications

  at least 1 months

Study Arms (2)

suture group

Patients ≥65 years who underwent urgent surgical groin hernia repair from January 2015 to June 2022 were included.

Other: suture repair

mesh repair

Patients ≥65 years who underwent urgent surgical groin hernia repair from January 2015 to June 2022 were included.

Other: mesh repair

Interventions

suture repair OTHER

Suture repair was used to reinforce the abdominal wall, including Bassini, Ferguson, McVay, or Halsted technique.

suture group

mesh repair OTHER

Mesh repair was conducted using a synthetic and biological mesh in the Lichtenstein or open preperitoneal techniques.

mesh repair

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients ≥65 years diagnosed with incarcerated groin hernia (IGH) who underwent emergency surgical repair.

You may qualify if:

• Patients diagnosed with incarcerated groin hernia (IGH).
• Aged ≥65 years
• Received emergency surgical repair (mesh or suture repair) at our center between January 2015 and June 2022.

You may not qualify if:

• IGH patients did not undergo either mesh repair or suture repair.

Sponsors & Collaborators

• Fudan University: lead

MeSH Terms

Conditions

Emergencies

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Hekai Shi, M.D.

CONTACT

+86 18580290227; 22211280026@m.fudan.edu.cn

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director

Study Record Dates

• First Submitted: July 21, 2023
• First Posted: July 28, 2023
• Study Start: September 30, 2023
• Primary Completion: July 20, 2024
• Study Completion: July 20, 2024
• Last Updated: September 14, 2023

Record last verified: 2023-09

Data Sharing

• IPD Sharing: Will not share