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Three different techniques for the surgical repair of groin hernias are compared. Focus has been set on operation times, time to full return of functional abilities like walking in stairs etc, and if any technique has more complications than the others. Three years results are presented in the study.
Dissection requirements differ between various methods for inguinal hernia repair, which may effect operation times, pain response and possibly recovery time. The objectives of this study were to establish if any differences concerning these aspects could be detected after three principally different techniques for primary inguinal hernia repair.
472 men between 30 and 75 years with primary inguinal hernias were included in a prospective controlled study and randomised to Lichtenstein mesh (L), PerFix Plug® (P) or the Prolene® Hernia System (PHS) procedure. All patients were seen and data were collected after 2 weeks, 3 months, 1 year, and 3 years.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| L | Active Comparator | The Lichtenstein procedure for repair of inguinal hernia (Single On-lay patch) |
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| P | Active Comparator | The well-konown PerFixPlug technique for inguinal hernia repair. |
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| PHS | Active Comparator | The well-known Prolene Hernia System method for inguinal hernia repair. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lichtenstein mesh | Procedure | The different techniques are compared and evaluated according to primary and secondary objectives. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time until full functional recovery | 2 weeks, 3 months, 1 year, 3 years | |
| Operation time | Registered after completion of surgery | |
| Pain after operation measured on a VAS-scale and amount of consumed analgesics | Day 1-14, 3 months, 1 year, 3 years after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Complication rate | 2 weeks, 3 months, 1 year, 3 years | |
| Aptness for beeing performed under local anaesthesia | During surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jan A Dalenbäck, Ass. Prof. | Frolunda Specialist Hospital, University of Gothenburg | Principal Investigator |
| Jan A Dalenbäck, Ass. Prof. | Frolunda Specialist Hospital, University of Gothenburg | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Frolunda Specialist Hoospital/University of Gothenburg, Lundby Hospital, Molndals Hospital/Sahlgrens University Hospital | Gothenburg | Vastra Gotalandsregionen | SE-421 22 | Sweden |
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| ID | Term |
|---|---|
| D006552 | Hernia, Inguinal |
| ID | Term |
|---|---|
| D046449 | Hernia, Abdominal |
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| PerFix Plug® | Procedure | The different techniques are compared and evaluated according to primary and secondary objectives. |
|
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| Prolene® Hernia System | Procedure | The different techniques are compared and evaluated according to primary and secondary objectives. |
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