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Chronic Pain After Inguinal Hernia Repair
This study is currently recruiting participants.
Verified by Medical University of Vienna, January 2009
Sponsored by: Medical University of Vienna
Information provided by: Medical University of Vienna
ClinicalTrials.gov Identifier: NCT00820131
  Purpose

Chronic pain after inguinal hernia repair has become a major concern. Although tension-free Lichtenstein technique is used and new lightweight meshes have been developed, still up to 40 % of patients complain of some kind of pain even one year after surgery. The necessity of mesh-fixation using sutures, could be causative. However, current data do not provide evidence whether suture fixation in Lichtenstein repair might be the reason for chronic postoperative pain.

A newly developed selfgrip-mesh enables sutureless fixation of the mesh in open inguinal hernia repair. Hereby a polypropylene mesh is combined with a resorbable polylactic-acid gripping system. Thereby the rate of chronic postoperative pain could be decreased.

Two techniques of inguinal hernia repair will be evaluated:

  1. open anterior mesh repair using conventional Lichtenstein technique (sutures for mesh-fixation)
  2. open anterior mesh repair using a selfgrip mesh (polylactic-acid gripping system for mesh fixation)

Postoperative pain will be evaluated by visual analog scale and Mc Gill pain questionaire at the 10th day, as well as 3 and 15 months postoperatively.


Condition Intervention Phase
Inguinal Hernia
Chronic Pain
Procedure: selfgrip mesh
Procedure: lightweight mesh with suture fixation
Phase IV

MedlinePlus related topics: Hernia
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Outcomes Assessor), Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A Multicenter Prospective Randomized Trial on Chronic Pain After Inguinal Hernia Repair Using a Selfgrip-Mesh

Further study details as provided by Medical University of Vienna:

Primary Outcome Measures:
  • chronic pain [ Time Frame: 3 months, 15 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • morbidity, recurrence rate, quality of life, duration [ Time Frame: 3 months, 15 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 250
Study Start Date: January 2008
Estimated Study Completion Date: January 2012
Estimated Primary Completion Date: January 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental Procedure: selfgrip mesh
inguinal hernia repair using a selfgrip mesh
2: Active Comparator Procedure: lightweight mesh with suture fixation
inguinal hernia repair using a lightweight mesh with suture fixation

  Eligibility

Ages Eligible for Study:   18 Years to 85 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • primary unilateral inguinal hernia
  • 18 years and older

Exclusion Criteria:

  • bilateral hernia
  • recurrent hernia
  • incarcerated hernia
  • malignant disease within the last 5 years
  • not able to understand the questionaire
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00820131

Contacts
Contact: Gerhard Prager, MD +43 1 40400 5621 gerhard.prager@meduniwien.ac.at
Contact: Erwin Rieder, MD +43 1 40400 5621 erwin.rieder@meduniwien.ac.at

Locations
Austria
Medical University of Vienna, Dept. of Surgery Recruiting
Vienna, Austria
Contact: Gerhard Prager, MD     +43 1 40400 5621     gerhard.prager@meduniwien.ac.at    
Principal Investigator: Erwin Rieder, MD            
Sub-Investigator: Andrea Dal Borgo, MD            
Sub-Investigator: Stefan Riss, MD            
LK Weinviertel Mistelbach, Surgical Department Recruiting
Mistelbach, Austria
Contact: Georg Reiner, MD     +43 2572 3341-4680     georg.reiner@mistelbach.lknoe.at    
Principal Investigator: Thomas Inhauser, MD            
Principal Investigator: Georg Heurteur, MD            
KH Wiener Neustadt, Surgical Department Recruiting
Wiener Neustadt, Austria
Contact: Friedrich Längle, MD     +43 2622 321-0     friedrich.laengle@wienerneustadt.lknoe.at    
Principal Investigator: Herwig Pokorny, MD            
Sponsors and Collaborators
Medical University of Vienna
Investigators
Principal Investigator: Gerhard Prager, MD Medical University of Vienna
  More Information

Responsible Party: Medical University of Vienna ( Gerhard Prager, MD )
Study ID Numbers: Austrian Progrip Trial
Study First Received: January 8, 2009
Last Updated: January 9, 2009
ClinicalTrials.gov Identifier: NCT00820131  
Health Authority: Austria: Ethikkommission

Study placed in the following topic categories:
Pathological Conditions, Anatomical
Signs and Symptoms
Hernia
Hernia, Abdominal
Neurologic Manifestations
Pain
Hernia, Inguinal

Additional relevant MeSH terms:
Nervous System Diseases

ClinicalTrials.gov processed this record on January 16, 2009