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Inclusion speed too slow, no longer relevant and takeover
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| Name | Class |
|---|---|
| Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) | OTHER |
| Orbis Medical Centre | OTHER |
| VieCuri Medical Centre | OTHER |
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Inguinal hernia repair coincides with a high rate of postoperative pain, extending to over a year in 10-20% of patients. Although this is of major concern, early postoperative pain also has an important impact on patients and their ability to regain normal work and activities. Since inguinal hernia repair is the most frequently performed operation worldwide, a small reduction in loss of workdays can already have significant impact on financial issues. As for the origin of the pain, it might be the result of local inflammation caused by the mesh material, but also by nerve entrapment due to fixation techniques. The development of a new mesh which enables sutureless fixation, Cousin Biotech® Adhesix™, may overcome pain related to fixation techniques used in the open hernia repair procedure according to Lichtenstein. Furthermore, the Cousin Biotech® Adhesix™ mesh has already been in use in our institutions and surgeons familiarized themselves with the application.
The investigators would like to conduct a multicentre randomised controlled clinical trial to compare the difference in early postoperative pain after unilateral primary inguinal hernia repair in males. The procedures will be performed in day surgery. Early postoperative pain is defined as the pain during the first month, with a special interest in the first two weeks. In addition, the investigators want to measure the possible benefit in terms of time to return to work, daily activities, quality of life, operation length, complications and long term postoperative pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental - Cousin Biotech Adhesix | Experimental | Placement of a self-adhering (sutureless) surgical mesh in open anterior inguinal hernia repair |
|
| Conventional - Cousin Biotech Biomesh P8 | Active Comparator | Placement of the conventional (sutured) surgical mesh in open anterior inguinal hernia repair |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Open anterior inguinal hernia repair | Procedure | Placement of a surgical mesh in open anterior inguinal hernia repair. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Difference in early postoperative pain scores | Measured with VAS-scores | 0-4 weeks after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Difference in long-term postoperative pain scores | Measured with VAS-scores | 4 weeks - 12 months after surgery |
| Number of days to return to normal daily activities | 0-12 months after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nicole D. Bouvy, MD, PhD | Maastricht University Medical Centre, dept. of General Surgery | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Academic Medical Centre Amsterdam, dept. of Surgery | Amsterdam | 1105 AZ | Netherlands | |||
| Maastricht University Medical Centre, dept. of General Surgery |
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| ID | Term |
|---|---|
| D006552 | Hernia, Inguinal |
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D046449 | Hernia, Abdominal |
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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|
| Number of days to return to work | 0-12 months after surgery |
| Differences in use of analgesics | Measured: frequency, dose and type. | 0-12 months after surgery |
| Differences in reported Quality of life | Measured with SF-36 questionnaire | 0-12 months after surgery |
| Number of patients with complications/adverse events | All adverse events/complications are recorded (i.e. infection, recurrence, bleeding) | 0-12 months after surgery |
| Maastricht |
| 6229HX |
| Netherlands |
| Orbis Medical Centre | Sittard-Geleen | 6162 BG | Netherlands |
| VieCuri Medical Centre, dept. of General Surgery | Venlo | 5912 BL | Netherlands |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |