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this study has the aim to analize the correlation between three different methods of mesh fixation ( using absorbable or non absorbable sutures or fibrin biological glue) and recurrance and chronic pain ,in the Lichtenstein anterior inguinal erniorrhaphy
In the last decades the rate of recurrence in the anterior inguinal erniorraphy has been drastically lowered with the introduction of the mesh , on the other hand the rate of chronic pain is reported to be high in many papers.
The chronic pain influences the quality of life and what's more causes an increase in the social costs.
the classical Lichtenstein inguinal anterior erniorrhaphy , wich is the technique suggested by the international guidelines, expected to fix the mesh with non absorbable sutures .
The investigators would analyze the possible correlation between the method of mesh fixation and chronic pain keeping a lower rate of recurrence.
That said the primary endpoint in this study is the rate of recurrence and the secondary endpoint is the rate of chronic pain after lichtenstein anterior inguinal erniorrhaphy in the three different methods of fixation of the mesh
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| absorbable sutures | Experimental | mesh fixation with absorbable sutures in lichtenstein anterior inguinal herniorrhaphy |
|
| non absorbable sutures | Active Comparator | mesh fixation with non absorbable sutures in lichtenstein anterior inguinal herniorrhaphy. This is the method to be considered the standard of care thus far. |
|
| fibrin biological glue | Experimental | mesh fixation with fibrin biological glue in lichtenstein anterior inguinal herniorrhaphy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lichtenstein technique groin hernia repair with mesh. Use of absorbale sutures for mesh fixation | Procedure |
| ||
| Measure | Description | Time Frame |
|---|---|---|
| rate of recurrence | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| rate of chronic pain | 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| lorenzo LL latham, md | Contact | 0332278348 | 0039 | lorenzo.latham@ospedale.varese.it |
| Name | Affiliation | Role |
|---|---|---|
| Lorenzo Latham, MD | Department of Surgery. Azienda Ospedaliera Ospedale di Circolo e Fondazione Macchi | Principal Investigator |
| Eugenio Cocozza, MD | Department of Surgery. Azienda Ospedaliera Ospedale di Circolo e Fondazione Macchi |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Azienda Ospedaliera Ospedale di Circolo e Fondazione Macchi | Recruiting | Varese | Va | 21100 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 8908956 | Background | Dick AC, Deans GT, Irwin ST. A prospective study of adult inguinal hernia repairs using absorbable sutures. J R Coll Surg Edinb. 1996 Oct;41(5):319-20. | |
| 12090577 | Background | Paajanen H. Do absorbable mesh sutures cause less chronic pain than nonabsorbable sutures after Lichtenstein inguinal herniorraphy? Hernia. 2002 Mar;6(1):26-8. doi: 10.1007/s10029-002-0048-2. |
| Label | URL |
|---|---|
| Related Info | View source |
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| Lichtenstein technique groin hernia repair with mesh. Use of non absorbable sutures for mesh fixation |
| Procedure |
|
| Lichtenstein technique groin hernia repair with mesh. Use of fibrin biological glue for mesh fixation | Procedure |
|
| Lorenzo Livraghi, MD | Department of Surgery. Azienda Ospedaliera Ospedale di Circolo e Fondazione Macchi | Principal Investigator |
| Mattia Berselli, MD | Department of Surgery. Azienda Ospedaliera Ospedale di Circolo e Fondazione Macchi | Principal Investigator |
| Bianca Gambitta, Student | Department of Surgery. Azienda Ospedaliera Ospedale di Circolo e Fondazione Macchi | Study Chair |
| Luca Farassino, MD | Department of Surgery. Azienda Ospedaliera Ospedale di Circolo e Fondazione Macchi | Study Chair |
| Ildo Scandroglio, MD | Department of surgery Azienda Ospedaliera di Busto Arsizio Ospedale di Tradate | Study Chair |
| Francesco Roscio, MD | Department of surgery Azienda Ospedaliera di Busto Arsizio ospedale di Tradate | Study Chair |
| Dario Maggioni, MD | Azienda Ospedaliera, Ospedale Civile di Legnano | Study Chair |
| Angelo Miranda, MD | Azienda Ospedaliera, Ospedale Civile di Legnano | Study Chair |
| 15851379 | Background | Holzheimer RG. Inguinal Hernia: classification, diagnosis and treatment--classic, traumatic and Sportsman's hernia. Eur J Med Res. 2005 Mar 29;10(3):121-34. |
| 23436683 | Background | de Goede B, Klitsie PJ, van Kempen BJ, Timmermans L, Jeekel J, Kazemier G, Lange JF. Meta-analysis of glue versus sutured mesh fixation for Lichtenstein inguinal hernia repair. Br J Surg. 2013 May;100(6):735-42. doi: 10.1002/bjs.9072. Epub 2013 Feb 22. |
| Related Info | View source |
| 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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