Non-mesh Repair of Inguinal Hernia: Desarda Versus Darn

NCT06712212 | Enrolling By Invitation

• 1 other identifier: Inguinal hernia repair
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

To compare the results of Desarda and Darn techniques in inguinal hernia repair in Assiut University Hospital.

Conditions

Inguinal Hernia Repair; Inguinal Hernia

Keywords

Hernia; Desarda repair; Darn repair; Inguinal Hernia

Outcome Measures

Primary Outcomes (1)

• Short term recurrence of hernia

  From the day post operative to 6 months after the operation

Study Arms (1)

Inguinal hernia

ACTIVE COMPARATOR

Procedure: Inguinal Hernias repair: Desarda; Procedure: Inguinal hernia repair: Darn

Interventions

Inguinal Hernias repair: Desarda PROCEDURE

A splitting incision is made in this sutured medial leaf, partially separating a strip 1.5-2 cm wide. This splitting incision is extended medially up to the pubic symphysis and 1-2 cm beyond the abdominal ring laterally. The medial insertion and lateral continuation of this strip is kept intact. The upper free border of the strip is now sutured to the internal oblique with number 1 Monofilament Polydioxanone Violet continuous sutures all along its length. This will result in the strip of the EOA being placed behind the cord to form a new posterior wall of the inguinal canal. The spermatic cord is placed in the inguinal canal and the lateral leaf of the EOA is sutured to the newly formed medial leaf of the EOA in front of the cord. As before, number 1 Monofilament Polydioxanone Violet continuous sutures were used. Undermining of the newly formed medial leaf on both its surfaces and excision of the bulky cremasteric muscle facilitate its approximation to the lateral leaf

Also known as: Desarda repair of inguinal hernia

Inguinal hernia

Inguinal hernia repair: Darn PROCEDURE

Skin and fascia are incised using a regular, oblique inguinal incision to expose the external oblique aponeurosis (EOA) the inguinal canal is opened into by dividing the external oblique aponeurosis through the external ring. After dealing with the hernia sac, a 0-size monofilament suture was used to reconstruct the inguinal bed with a tension-free darn starting with a good strong bite of the tough tendinous structures near the pubic tubercle and emerging out through the lateral edge of the internal oblique/rectus sheath from one side and through the inguinal ligament on the other side. The loosely interwoven bites continued laterally and the back-forming two rows of continuous stitches were placed in a staggered manner to spread the tension between the fibres of the inguinal ligament. Afterwards, the external oblique and other superficial layers with the skin are classically closed

Also known as: Darn repair of inguinal hernia

Inguinal hernia

Eligibility Criteria

• Age: 18 Years+
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• inguinal hernia
• Age more than 18
• Male patients

You may not qualify if:

• simultaneous performance of other surgical procedures

Sponsors & Collaborators

• Assiut University: lead

Study Sites (1)

Assiut University

Asyut, Asyut Governorate, 71151, Egypt

Location

MeSH Terms

Conditions

Hernia, Inguinal; Hernia

Condition Hierarchy (Ancestors)

Hernia, Abdominal; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Resident General Surgery

Study Record Dates

• First Submitted: September 27, 2024
• First Posted: December 2, 2024
• Study Start: March 1, 2023
• Primary Completion: March 1, 2025
• Study Completion: March 1, 2025
• Last Updated: December 2, 2024

Record last verified: 2024-11

Locations

EG (1)