{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:06:22Z","timestamp":1790251582637,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Indirect inguinal hernia is a common condition that often requires surgical intervention. This study compares two surgical approaches for hernia repair: tissue reinforcement using the remaining sac and polypropylene mesh repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A randomised, controlled, double\u2010blind clinical trial was conducted on 132 patients aged 18\u201382 diagnosed with indirect inguinal hernia. Participants were randomly assigned to two intervention groups: one undergoing polypropylene mesh repair and the other using tissue reinforcement with the remaining sac. Key outcomes, including recurrence rates, postoperative complications, pain intensity, recovery time and hospital stay, were assessed at multiple intervals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Both techniques demonstrated comparable safety and efficacy. Recurrence rates were low in both groups (1.5% in the mesh group vs. 3% in the tissue reinforcement group, at one\u2010year follow\u2010up,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.56). Postoperative complications, including seroma and haematoma, were identical (3% in both groups). Pain intensity (mean VAS score: 5.7 vs. 5.6,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.847) and recovery time (6.7\u2009days vs. 6.6\u2009days,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.960) were similar between the two approaches.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both polypropylene mesh and tissue reinforcement techniques are effective and safe for indirect inguinal hernia repair, with minimal differences in outcomes. Surgical decisions should be tailored to individual patient needs and clinical scenarios. These findings provide evidence supporting the flexibility of surgical approaches in managing indirect inguinal hernias.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      IRCT20230410057871N3\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70900","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T04:51:22Z","timestamp":1789620682000},"page":"2632-2639","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Hernia Repair Using Tissue Reinforcement With the Remaining Sac Versus Polypropylene Mesh in Patients With Indirect Inguinal Hernia: A Randomised, Controlled, Double\u2010Blind Clinical Trial"],"prefix":"10.1111","volume":"96","author":[{"given":"Iman","family":"Ramezani","sequence":"first","affiliation":[{"name":"Student Research Committee, Lorestan University of Medical Sciences  Khorramabad Iran"},{"name":"Surgery Education and Research Network (SERGN), Universal Scientific Education and Research Network (USERN)  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7792-739X","authenticated-orcid":false,"given":"Mahya","family":"Aliakbari","sequence":"additional","affiliation":[{"name":"Student Research Committee, Bushehr University of Medical Sciences  Bushehr Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samaneh","family":"Tahmasebi Ghorabi","sequence":"additional","affiliation":[{"name":"USERN Office, Lorestan University of Medical Sciences  Khorramabad Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9927-8891","authenticated-orcid":false,"given":"Arya","family":"Behzadi","sequence":"additional","affiliation":[{"name":"Surgery Education and Research Network (SERGN), Universal Scientific Education and Research Network (USERN)  Melbourne Australia"},{"name":"School of Medicine, Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1842-1520","authenticated-orcid":false,"given":"Bahar","family":"Amiri","sequence":"additional","affiliation":[{"name":"Student Research Committee, Lorestan University of Medical Sciences  Khorramabad Iran"},{"name":"Surgery Education and Research Network (SERGN), Universal Scientific Education and Research Network (USERN)  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2826-5572","authenticated-orcid":false,"given":"Sepideh","family":"Hadimaleki","sequence":"additional","affiliation":[{"name":"Department of Pathology, Imam Reza Hospital Tabriz University of Medical Sciences  Tabriz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farzad","family":"Ebrahimzadeh","sequence":"additional","affiliation":[{"name":"Lorestan School of Health and Nutrition  Lorestan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masoud","family":"Sharifian","sequence":"additional","affiliation":[{"name":"Department of Surgery Lorestan University of Medical Sciences  Khorramabad Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0239-503X","authenticated-orcid":false,"given":"Arian","family":"Karimi Rouzbahani","sequence":"additional","affiliation":[{"name":"Surgery Education and Research Network (SERGN), Universal Scientific Education and Research Network (USERN)  Melbourne Australia"},{"name":"Western Health, Department of Urology  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-43045-4_4"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-025-03635-5"},{"issue":"3","key":"e_1_2_12_4_1","first-page":"121","article-title":"Inguinal Hernia: Classification, Diagnosis and Treatment\u2014Classic, Traumatic and Sportsman's Hernia","volume":"10","author":"Holzheimer R. 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