An interventional study of Bassini Inguinal Herniorrhaphy and Desarda Inguinal Hernia Repair in Inguinal Hernia, Incarcerated Inguinal Hernia and Strangulated Inguinal Hernia, sponsored by Assiut University. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-02.
Sponsored by Assiut University · Not applicable, Interventional, and Treatment
Inguinal hernias occur when abdominal contents, such as intestine or fat, protrude through a weakness in the lower abdominal wall. While most hernia repairs are scheduled electively, some hernias present as urgent emergencies due to incarceration (the contents become trapped) or strangulation (the blood supply to the trapped tissue is cut off). In emergency operations, synthetic mesh placement may be avoided due to the increased risk of surgical site infections, tissue swelling, or bowel contamination. In such settings, surgeons rely on tissue-based (mesh-free) repairs. The conventional Bassini repair is a standard non-mesh technique, but it can be associated with higher hernia recurrence rates. The Desarda technique is a physiological, mesh-free repair that uses an undetached strip of the patient's own external oblique aponeurosis (tendinous muscle tissue) to reinforce the weakened inguinal floor without tension.
The main objective of this study is to compare the surgical outcomes of conventional Bassini repair alone versus Bassini repair combined with the Desarda technique in adult patients undergoing emergency surgery for urgent, complicated inguinal hernias.
This prospective randomized controlled trial is conducted at the Department of General Surgery, Assiut University Hospital. A total of 70 eligible participants presenting with acutely complicated inguinal hernias will be randomly assigned to one of two equal groups:
Participants are monitored during their hospital stay and will attend structured outpatient follow-up visits up to 12 months postoperatively. The primary outcome evaluated is the rate of hernia recurrence. Secondary outcomes include surgical site infections, seroma and hematoma formation, postoperative pain scores (using the Visual Analogue Scale), duration of operative procedure, hospital stay length, and time required to resume normal activities and return to work.
567 studies on the registry are indexed under Hernia, Inguinal; 80 are open to participants now.
This study's planned enrollment of 70 is below the median of 90 across 420 interventional studies indexed under Hernia, Inguinal.
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Exclusion Criteria:
Patients undergo open emergency inguinal hernia repair via a transverse groin incision. The hernia sac is dissected, contents reduced (with bowel resection and primary anastomosis performed if non-viable), and high ligation performed at the deep ring using a 2-0 polypropylene suture. Posterior inguinal canal wall repair is performed using the Bassini technique: interrupted 0-polypropylene sutures approximate the conjoint tendon (inguinal falx) to the shelving edge of the inguinal ligament from the pubic tubercle to the deep inguinal ring without prosthetic mesh. The external oblique aponeurosis is closed over the cord using 2-0 polyglactin.
Procedure: Bassini Inguinal Herniorrhaphy
Patients undergo open emergency repair with identical initial access, sac reduction, and high ligation as Group A. Following high ligation, a 2-3 cm wide by 7-9 cm long strip is fashioned from the lower leaf of the external oblique aponeurosis (EOA), left undetached laterally near the deep ring. The medial free end is sutured to the conjoint tendon at the pubic tubercle with interrupted 0-polypropylene sutures, and the inferior border is sutured to the shelving edge of the inguinal ligament up to the deep ring. The upper leaf of the EOA is sutured to the superior edge of the strip with 2-0 polyglactin, providing a physiological, tension-free posterior wall repair without prosthetic mesh.
Procedure: Desarda Inguinal Hernia Repair
Standard open tissue-based repair performed without prosthetic mesh. Through a transverse groin incision, the hernia sac is dissected, contents reduced (non-viable bowel resected with primary anastomosis), and high transfixion ligation completed at the deep ring with a 2-0 polypropylene suture. Posterior inguinal canal wall reconstruction is achieved by placing interrupted 0-polypropylene sutures approximating the conjoint tendon (inguinal falx) to the shelving edge of the inguinal ligament from the pubic tubercle to the deep ring. The external oblique aponeurosis is then closed over the spermatic cord using 2-0 polyglactin.
Open tissue-based repair reinforcing the posterior inguinal canal wall using an autologous aponeurotic strip without prosthetic mesh. Following standard sac dissection, content reduction, and high ligation, a rectangular strip measuring 2-3 cm wide and 7-9 cm long is created from the lower leaf of the external oblique aponeurosis (EOA), remaining attached laterally near the deep ring. The medial free end is sutured to the conjoint tendon at the pubic tubercle, and the inferior border is sutured to the inguinal ligament using interrupted 0-polypropylene sutures. The upper leaf of the EOA is then sutured to the superior margin of the strip with 2-0 polyglactin.
Incidence of Inguinal Hernia Recurrence
Defined as the presence of any clinically detectable protrusion or bulge in the ipsilateral groin or inguinal region on physical examination, confirmed objectively by high-resolution inguinal ultrasonography.
Time frame: 12 months postoperatively
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From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
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