Tacking Mesh Versus Self-fixating Mesh for Inguinal Hernia Repair
| Status: | Completed |
|---|---|
| Conditions: | Gastrointestinal, Gastrointestinal |
| Therapuetic Areas: | Gastroenterology |
| Healthy: | No |
| Age Range: | 18 - 65 |
| Updated: | 6/17/2018 |
| Start Date: | June 2013 |
| End Date: | November 30, 2015 |
Randomized Prospective Single-Blinded Study of Totally Extra Peritoneal Inguinal Hernia Repair: Tacking Mesh Versus Self-fixating Mesh
Investigators are testing whether tacking mesh or self-fixating mesh used for inguinal hernia
repair makes any difference in short-term pain or return to normal activities following the
operation. Other studies have shown no significant difference in hernia recurrence rate when
metal tacks are not used to hold the mesh in place.
repair makes any difference in short-term pain or return to normal activities following the
operation. Other studies have shown no significant difference in hernia recurrence rate when
metal tacks are not used to hold the mesh in place.
Participants will be placed into two groups. One group of participants will have mesh tacked
into place for their hernia repairs. The other group will have self-fixating mesh into place.
Both groups will have a piece of mesh that will widely cover the hernia defect. Before
surgery, the participant will be asked to rate discomfort on a 0-10 scale. Zero stands for no
pain and 10 is the worst pain they can imagine. Investigators will record information about
general medical condition, medications and activity level. During the operation information
will be recorded about the pain medicines the participant may receive. In the recovery room
the participant will be asked to rate their pain on the 0-10 scale and more information will
be recorded about any additional pain medicines that they may receive and assess activity
level. Following surgery, Investigators will contact the participants by survey to obtain
more information about pain level, medication use, and activity level.
into place for their hernia repairs. The other group will have self-fixating mesh into place.
Both groups will have a piece of mesh that will widely cover the hernia defect. Before
surgery, the participant will be asked to rate discomfort on a 0-10 scale. Zero stands for no
pain and 10 is the worst pain they can imagine. Investigators will record information about
general medical condition, medications and activity level. During the operation information
will be recorded about the pain medicines the participant may receive. In the recovery room
the participant will be asked to rate their pain on the 0-10 scale and more information will
be recorded about any additional pain medicines that they may receive and assess activity
level. Following surgery, Investigators will contact the participants by survey to obtain
more information about pain level, medication use, and activity level.
Inclusion Criteria:
- All patients regardless of sex or age who were diagnosed with a inguinal hernia and
underwent a totally extraperitoneal (TEP) inguinal hernia repair at the Mayo Clinic in
Rochester, Minnesota from June 2013 - June 2014.
Exclusion Criteria:
- Patients who did not elect to undergo a hernia repair or who elected to undergo a
different type of hernia repair instead of a TEP procedure.
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