Tension-free Repair of Inguinal Hernia With "Undissociate Spermatic Cord"

The First Affiliated Hospital of Harbin Medical Uniersity

The theory of "undissected Spermatic cord (US)" only transected the hernia ring ends in the abdominal cavity, the hernia ring, hernia sac and spermatic cord will not be dissected. Its significance lies in that inguinal hernia repair can get rid of the "entanglement" of hernia sac and spermatic cord and fundamentally change the treatment mode of hernia ring and hernia sac.

Study Overview

• Status: Completed
• Conditions: Inguinal Hernia, Without Mention of Obstruction or Gangrene
• Intervention / Treatment: Procedure: Tension-free repair of inguinal hernia with "Undissociate Spermatic cord"

Detailed Description

In recent years, with the deepening of the anatomical cognition of the inguinal region and the renewal of the hernia repair concept, inguinal hernia repair has become increasingly mature surgical approach. However, no matter how the hernia repair modes change, the treatment and repair of the hernia ring has always been the focus, so that the treatment of the hernia sac has been neglected. From March 2014 to May 2019, there were 132 patients underwent inguinal hernia repair with "Undissociate Spermatic cord" theory (Undissected Spermatic cord and hernia sac, hernia ring and sac exclusion). All the patients were followed up for 18~63 months (mean of 41.5 months) without recurrence. Its significance lies in that inguinal hernia repair can get rid of the "entanglement" of hernia sac and spermatic cord and fundamentally change the treatment mode of hernia ring and hernia sac.

• Study Type: Observational
• Enrollment (Actual): 134

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 72 years (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

inguinal hernia patients

Description

Inclusion Criteria:

• Inguinal hernia patients who can tolerate surgery

Exclusion Criteria:

• Patients who cannot tolerate surgery

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
experimental group; Tension-free repair of inguinal hernia with "Undissociate Spermatic cord"	Procedure: Tension-free repair of inguinal hernia with "Undissociate Spermatic cord"; patient undergoing Tension-free repair of inguinal hernia with "Undissociate Spermatic cord"
control group; Tension-free repair of inguinal hernia with traditional method

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
surgery time	the operation time	0-120minutes
Bleeding	Blood loss	surgery
hospital stay	the hospitalization time	1-30days
Does it recur	Does it recur	18-63months

Collaborators and Investigators

• Sponsor: Harbin Medical University

Study record dates

Study Major Dates

• Study Start (ACTUAL): March 1, 2014
• Primary Completion (ACTUAL): March 1, 2019
• Study Completion (ACTUAL): March 1, 2019

Study Registration Dates

• First Submitted: January 21, 2022
• First Submitted That Met QC Criteria: February 9, 2022
• First Posted (ACTUAL): February 21, 2022

Study Record Updates

• Last Update Posted (ACTUAL): February 21, 2022
• Last Update Submitted That Met QC Criteria: February 9, 2022
• Last Verified: February 1, 2022

More Information

Terms related to this study

• Keywords: Inguinal hernia; Undissociate Spermatic cord; Hernia exclusion; Hernial sac
• Additional Relevant MeSH Terms: Pathologic Processes; Necrosis; Pathological Conditions, Anatomical; Hernia, Abdominal; Hernia; Hernia, Inguinal; Gangrene
• Other Study ID Numbers: 81902421

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No