- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00934388
A Randomised, Blinded Study on Laparoscopic Mesh Reinforcement for Chronic Groin Pain
A Randomised, Blinded Study on Laparoscopic Mesh Reinforcement for Chronic Groin Pain.
Chronic groin pain is a frequent cause for referral to general surgeons. In some cases this pain may be due to the presence of a hernia. However, if on clinical examination there is no palpable lump or bulge, the cause of the pain may be difficult to elucidate. Some of these patients may have the diagnosis of sportsman's groin. Other names which have been attached to this condition include Gilmores groin and sportsmans hernia. These conditions are more commonly associated with sportsmen and women but those who do not play sport may also receive this diagnosis. Sportsman's groin is thought to be a syndrome of weakness of the posterior inguinal wall without a clinically recognisable hernia. Differing explanations for sportsman's groin include avulsion of the conjoint tendon from the pubic tubercle, weakening of the transversalis fascia, tears in the internal or external oblique, superficial inguinal ring dilatation and abnormalities of the rectus abdominus insertion.
There is some evidence that pre peritoneal mesh placement in these patients may be beneficial. The theory being that the mesh prevents pressure transmission to the damages structures, allowing them to heal more rapidly.
Aim. To assess the potential benefit of pre peritoneal mesh placement using the TAPP technique in patients with chronic groin pain.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Phase 3
Contacts and Locations
Study Contact
- Name: Stuart R Walker, MBBS DM
- Phone Number: 61 3 62227064
- Email: stuart.walker@dhhs.tas.gov.au
Study Locations
-
-
Tasmania
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Hobart, Tasmania, Australia, 7000
- Royal Hobart Hospital
-
Contact:
- Stuart R Walker, MB BS
- Phone Number: 61 3 62227064
- Email: stuart.walker@dhhs.tas.gov.au
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Groin pain (unilateral or bilateral) for at least 4 months. In this way, patients with temporary symptoms will be excluded from undergoing unnecessary surgery.
- Tenderness over pubic tubercle or superficial inguinal ring.
Exclusion Criteria:
- Aged less than 18 years Aged more than 50 years - due to increased incidence of sacro-iliac and hip pathology.
- Bulge, lump or cough impulse consistent with inguinal or femoral hernia on clinical examination.
- Patients unwilling or unable to provide informed consent. Medically unfit for general anaesthetic
- Pregnant women
- Diabetes - due to diabetic neuropathy
- Steroid use
- QST suggestive of nerve entrapment.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: TRIPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Mesh placed in pre peritoneal plane
|
|
Active Comparator: No mesh placed
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Return to normal activities
Time Frame: 3 months
|
3 months
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- SRW 001
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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