About this trial
This research is intended to be a pilot study to identify differences in outcomes for varied lifting and physical activity precautions following surgical repair of single-sided inguinal hernias. The researchers hypothesize that when given the autonomy to return to activity at the patient's discretion, convalescence will decrease in comparison to a control group given specific precautions to refrain from lifting and strenuous activity. Specific aims include differences in convalescence and surgical outcomes for each group, i.e. rates of complications, hernia recurrence, physical activity assessments pre and postop, and quality of life outcomes.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Clinical diagnosis of unilateral inguinal hernia
Must be undergoing surgery
Must be able to consent
Disqualifiers
Bilateral inguinal hernia
Recurrent inguinal hernia
Surgery scheduled with additional concomitant procedures
Trial design
Parallel
Treatments tested in this trial
Removal of postoperative lifting restrictions
BehavioralPatients will be randomized into one of two groups: a control group told to practice standard of care at Eastern Colorado VA with return to activity precautions (6 weeks for open surgery, 2 weeks for minimally invasive surgery) and a treatment group told to "return to activity as tolerated/comfortable and stop activity if pain present".
Treatment groups
Trial outcomes
Primary outcomes
Physiological parameter- Hernia recurrence
Study participants will be followed for 2 years following hernia surgery to evaluate for hernia recurrence in both study arms. Hernia recurrence would be determined by documentation in medical record by surgical teams.
Physiological parameter- Postoperative Complications
Study participants will be evaluated after 2 months for incidence of postoperative complication due to hernia surgery. This includes seroma, hematoma, bleeding, surgical site infection, and wound dehiscence. This will be obtained from participant medical record as documented by clinical providers, primary care providers, surgery, and emergency medicine.
Secondary outcomes
Questionnaire- Postoperative Activity levels
Following surgery, study participants will follow specified activity restrictions (per study arm). At the 6 week mark after surgery, participants will complete a survey asking for quantification of vigorous, moderate, walking and sitting activities. Surveys include description of each activity.
Sponsors and contacts
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