Mesh Removal Versus No Mesh Removal for Chronic Groin Pain After Inguinal Hernia Repair
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorDavid Krpata
About this trial
This study is evaluating the management of chronic post-operative inguinal hernia pain and the impact of hernia mesh removal after previous minimally invasive inguinal hernia repairs.
The study aims are to evaluate the change in chronic (\>6 months), nociceptive, postoperative inguinal pain after mesh removal compared to no mesh removal in patients who have previously undergone minimally invasive inguinal hernia repair with pre-peritoneal mesh.
Eligibility criteria
Qualifiers
> 18 years of age
CPIP lasting > 6 months after laparoscopic or robotic inguinal hernia repair with pre-peritoneal mesh
Pain while sitting in a chair for prolonged periods of time with relief when extending the hip or lying supine to straighten the leg
Severe pain when crossing the affected leg over the contralateral leg
Disqualifiers
No characteristics of nociceptive groin pain
Zero or mild pain [0-3] when moving from supine to standing on NRS
Recurrent inguinal hernia detected on clinical exam
Large, femoral, direct or indirect inguinal hernia (F2-3, M2-3, L2-3) on diagnostic laparoscopy as defined by European Hernia Society (EHS) classification
Trial design
Treatments tested in this trial
- Diagnostic laparoscopy and inguinal mesh removal
- Diagnostic laparoscopy
Treatment groups
70 Participants
are divided into 2 treatment groupsSponsors and collaborators
David Krpata
Lead sponsor
The Cleveland Clinic
Sponsor institution
Source ClinicalTrials.gov