Chronic Pain After Inguinal Hernia Repair (GRIP-ME)
Recruitment status was Recruiting
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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:
- open anterior mesh repair using conventional Lichtenstein technique (sutures for mesh-fixation)
- 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 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Multicenter Prospective Randomized Trial on Chronic Pain After Inguinal Hernia Repair Using a Selfgrip-mesh |
- chronic pain [ Time Frame: 3 months, 15 months ] [ Designated as safety issue: No ]
- morbidity [ Time Frame: 3 months, 15 months ] [ Designated as safety issue: No ]
- recurrence rate [ Time Frame: 3 months and 15 months ] [ Designated as safety issue: No ]
- quality of life [ Time Frame: 3 months and 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 |
|---|---|
| Experimental: 1 |
Procedure: selfgrip mesh
inguinal hernia repair using a selfgrip mesh
|
| Active Comparator: 2 |
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 |
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| 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 |
| Austria | |
| LKH Feldkirch, Dept. of Surgery | Recruiting |
| Feldkirch, Austria | |
| Contact: Etienne Wenzl, MD etienne.wenzl@lkhf.at | |
| Sub-Investigator: Peter Tschann, MD | |
| Principal Investigator: Etienne Wenzl, MD | |
| Hospital Barmherzige Schwestern | Recruiting |
| Linz, Austria | |
| Contact: Martin Aufschnaiter, MD martin.aufschnaiter@bhs.at | |
| Sub-Investigator: Thomas Burgstaller, MD | |
| Principal Investigator: Martin Aufschnaiter, MD | |
| LK Weinviertel Mistelbach, Surgical Department | Completed |
| Mistelbach, Austria | |
| Medical University of Vienna, Dept. of Surgery | Completed |
| Vienna, Austria | |
| KH Göttlicher Heiland | Recruiting |
| Vienna, Austria, 1170 | |
| Contact: Viktor Grablowitz, MD | |
| Sub-Investigator: Alexander Butz, MD | |
| Principal Investigator: Viktor Grablowitz, MD | |
| KFJ Hospital, Dept. of Surgery | Recruiting |
| Vienna, Austria | |
| Contact: Josef Karner, MD josef.karner@wienkav.at | |
| Principal Investigator: Sabine Thalhammer, MD | |
| Principal Investigator: Josef Karner, 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 | |
| Principal Investigator: Friedrich Längle, MD | |
| Principal Investigator: | Gerhard Prager, MD | Medical University of Vienna |
More Information
No publications provided
| Responsible Party: | Gerhard Prager, MD, Medical University of Vienna |
| ClinicalTrials.gov Identifier: | NCT00820131 History of Changes |
| Other Study ID Numbers: | EK MUW 613/2007 |
| Study First Received: | January 8, 2009 |
| Last Updated: | February 24, 2011 |
| Health Authority: | Austria: Ethikkommission |
Additional relevant MeSH terms:
|
Hernia Hernia, Inguinal Pathological Conditions, Anatomical Hernia, Abdominal |
ClinicalTrials.gov processed this record on May 23, 2013