Prospective Trial Comparing Two Different Polypropylene Meshes for Inguinal Hernias
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Gastrointestinal, Gastrointestinal |
| Therapuetic Areas: | Gastroenterology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/6/2019 |
| Start Date: | June 2014 |
| End Date: | December 2019 |
Prospective Randomized Controlled Trial Comparing Resident Performance and Clinical Outcomes With Two Different Polypropylene Meshes for Laparoscopic Inguinal Hernias
The purpose of this research study is to measure the clinical effectiveness of two different
polypropylene meshes used for laparoscopic inguinal hernias by evaluating subjects' length of
hospital stay, perioperative complications, recurrence rate, pain score, comfort level and
postoperative quality of life. A secondary goal of the study is to evaluate the ease of use
and time it takes surgical residents to place the mesh and perform the surgery using these
two different meshes.
polypropylene meshes used for laparoscopic inguinal hernias by evaluating subjects' length of
hospital stay, perioperative complications, recurrence rate, pain score, comfort level and
postoperative quality of life. A secondary goal of the study is to evaluate the ease of use
and time it takes surgical residents to place the mesh and perform the surgery using these
two different meshes.
Inguinal hernia repair is one of the most common operations performed by general surgeons in
the world. There are two main ways to repair an inguinal hernia, open or laparoscopic. Open
compared to laparoscopic, is more invasive and leads to more scarring and longer recovery
periods. Laparoscopic repair is done by making a small cut in or just below the umbilicus and
has become an accepted standard for inguinal hernia repair and has become the technique of
choice for recurrent inguinal hernias.
During laparoscopic repair, the placement of a prosthetic mesh aids in reinforcing the
abdominal wall and allowing for tension free repair. Meshes also helps to lower the
recurrence rate. The most safe and effective type of mesh prosthesis currently being used in
laparoscopic inguinal hernia repairs are polypropylene meshes. There is some emerging
evidence that "lighter weight" forms of polypropylene meshes may improve quality of life
outcomes following surgery for inguinal hernias. Further evaluation is needed to support this
evidence.
the world. There are two main ways to repair an inguinal hernia, open or laparoscopic. Open
compared to laparoscopic, is more invasive and leads to more scarring and longer recovery
periods. Laparoscopic repair is done by making a small cut in or just below the umbilicus and
has become an accepted standard for inguinal hernia repair and has become the technique of
choice for recurrent inguinal hernias.
During laparoscopic repair, the placement of a prosthetic mesh aids in reinforcing the
abdominal wall and allowing for tension free repair. Meshes also helps to lower the
recurrence rate. The most safe and effective type of mesh prosthesis currently being used in
laparoscopic inguinal hernia repairs are polypropylene meshes. There is some emerging
evidence that "lighter weight" forms of polypropylene meshes may improve quality of life
outcomes following surgery for inguinal hernias. Further evaluation is needed to support this
evidence.
Inclusion Criteria:
- Subjects undergoing laparoscopic repair for the treatment of either single or
bilateral inguinal hernias
- All surgical residents at New Hanover Regional Medical Center
Exclusion Criteria:
- Subjects requiring emergency surgery
- Pregnant subjects
- Subjects under the age of 18 years of age
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