NCT07627425

Brief Summary

The study is aimed at comparing postoperative complications between two different techniques of mesh fixation in lichtenstein inguinal hernia repair.

Trial Health

75
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
8mo left

Started Mar 2026

Geographic Reach
1 country

1 active site

Status
enrolling by invitation

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress37%
Mar 2026Mar 2027

Study Start

First participant enrolled

March 21, 2026

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

May 30, 2026

Completed
5 days until next milestone

First Posted

Study publicly available on registry

June 4, 2026

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 21, 2026

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 21, 2027

Last Updated

June 4, 2026

Status Verified

May 1, 2026

Enrollment Period

6 months

First QC Date

May 30, 2026

Last Update Submit

May 30, 2026

Conditions

Keywords

Lichtensteininguinal hernia repairmesh fixationpostoperative paininguinodyniasurgical site infectionvisual analogue scale

Outcome Measures

Primary Outcomes (5)

  • Inguinodynia

    Will be assessed through a visual analogue scale (VAS), where zero is equivalent to no pain and 10 indicates the worst possible pain.

    3 and 6 months postoperatively

  • Surgical site infection

    Assessed using Southampton Surgical Site Infection grading system

    within 30 days of surgery

  • Wound Hematoma

    Collection of blood at the surgical site presenting as painful swelling with discoloration, confirmed clinically

    Within 30 days postoperatively

  • Wound Seroma

    Collection of clear fluid at the operative site, diagnosed clinically as a fluctuant, non-tender swelling at the surgical site

    within 30 days postoperatively

  • Scrotal edema/hematoma

    Swelling or collection of fluid/blood in the scrotum, identified clinically

    within 30 days postoperatively

Secondary Outcomes (2)

  • Hernia recurrence

    Within 6 months of surgery.

  • Operative time

    During procedure

Study Arms (2)

Mesh fixation with staples

EXPERIMENTAL
Procedure: Mesh fixation with Staples

Mesh fixation with sutures

ACTIVE COMPARATOR
Procedure: Mesh Fixation with Sutures

Interventions

2 staples will be applied directly over the pubic tubercle, while 3-4 staples will be used to fix the mesh over the inguinal ligament 1-2cm apart. Another 2-3 staples will secure the mesh to the conjoint tendon, and 1 staple lateral to the cord at the deep ring.

Mesh fixation with staples

Polypropylene sutures will be used to fix the mesh, with continuous suturing over the pubic tubercle and inguinal ligament, and interrupted suturing along the posterior wall and deep ring.

Mesh fixation with sutures

Eligibility Criteria

Age18 Years - 75 Years
Sexmale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Adult male patients aged 18-75 years with uncomplicated unilateral inguinal hernia undergoing elective open Lichtenstein mesh repair

You may not qualify if:

  • Recurrent hernias
  • ASA (American Society of Anaesthesiologists) class III or greater
  • Patients with active obstructive lower urinary tract symptoms
  • Accidental per-operative nerve injury

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Sindh |nstitute of Urology and Transplantation

Karachi, 74400, Pakistan

Location

MeSH Terms

Conditions

Pain, PostoperativeSurgical Wound Infection

Interventions

Sutures

Condition Hierarchy (Ancestors)

Postoperative ComplicationsPathologic ProcessesPathological Conditions, Signs and SymptomsPainNeurologic ManifestationsSigns and SymptomsWound InfectionInfections

Intervention Hierarchy (Ancestors)

Surgical Fixation DevicesSurgical EquipmentEquipment and Supplies

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Postgraduate Trainee

Study Record Dates

First Submitted

May 30, 2026

First Posted

June 4, 2026

Study Start

March 21, 2026

Primary Completion (Estimated)

September 21, 2026

Study Completion (Estimated)

March 21, 2027

Last Updated

June 4, 2026

Record last verified: 2026-05

Data Sharing

IPD Sharing
Will not share

Locations