Postoperative Ozonated Oil Dressing After Open Inguinal Hernia Repair: A Randomized Pilot Trial

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-75
SponsorNigde Omer Halisdemir University

About this trial

This study looks at whether a special wound dressing containing ozonated oil can reduce early wound inflammation after open inguinal hernia surgery. Open inguinal hernia repair is a common operation, and although infection rates are low, many patients experience redness, swelling, tenderness, or discomfort at the surgical site during the first days after surgery.

Participants undergoing elective open inguinal hernia repair will be randomly assigned to receive either an ozonated oil-impregnated dressing or a standard sterile dressing after the operation. The main outcome is the level of wound inflammation measured on the third day after surgery. Other outcomes include wound temperature, pain levels, cosmetic healing, and wound-related problems during the first 30 days.

The ozonated oil used in this study is a CE-certified medical product that is already used in routine wound care. This pilot study aims to provide preliminary data to help determine whether ozonated oil dressing may improve early wound healing compared with standard care.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults aged 18 to 75 years

ASA physical status I-III

Scheduled for elective, unilateral open inguinal hernia repair

Able to provide written informed consent

Disqualifiers

Emergency inguinal hernia (incarcerated or strangulated)

Recurrent inguinal hernia

Concomitant surgical procedures during the same operation

Immunosuppression or long-term systemic steroid use

Trial design

Design model

Parallel

Treatments tested in this trial

  • ozonated oil

    Drug

    Ozonated oil-impregnated sterile gauze is applied topically to the surgical incision immediately after skin closure. The dressing is changed once daily for the first 48 hours postoperatively, followed by standard wound care according to institutional routine.

  • Standard Sterile Dressing

    Other intervention

    A standard sterile dry dressing is applied to the surgical incision after skin closure and removed within 24-48 hours postoperatively. Subsequent wound care is continued according to routine institutional practice.

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: Ozonated Oil DressingExperimental treatment 1 intervention
Group B: Standard Sterile DressingActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Composite Wound Inflammation Score

A composite wound inflammation score ranging from 0 to 12, consisting of erythema, edema, and exudate graded from standardized wound photographs (0-3 points each) and wound tenderness assessed during clinical examination (0-3 points). Wound photographs are independently evaluated by two blinded surgeons.

Time frame
Postoperative day 3

Secondary outcomes

1

Wound Surface Temperature Difference

Difference between mean surgical wound surface temperature and contralateral symmetrical skin temperature measured using a non-contact infrared thermometer.

Time frame
Postoperative day 3
2

Postoperative Pain Score

Pain intensity at the surgical site measured using a 0-10 visual analog scale (VAS).

Time frame
6 hours, 24 hours, and postoperative day 3
3

Cosmetic Outcome Score

Patient-reported cosmetic satisfaction assessed using a 0-10 visual analog scale and photographic evaluation using the Hollander Wound Evaluation Score.

Time frame
Postoperative day 30
4

Surgical Site Infection

Incidence of surgical site infection defined according to Centers for Disease Control and Prevention (CDC) criteria, collected for exploratory analysis.

Time frame
Within 30 postoperative days

Other outcomes

Sponsors and contacts

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