Study design and participants
CMD, primary hernias
GILBERT
This prospective randomized comparative study was performed at the Department of General Surgery, Al-Sader Medical City, City of Najaf, Iraq, from January 2015 to February 2018. A total of 330 men patients, aged 18-70 years, with primary hernias of the inguinal region classified as Gilbert class three or four were enrolled. Patients were randomly assigned to 2 groups: Group I (n=165) received combined mesh and modified darn repair (CMD), and Group II (n=165) received mesh alone repair (MA). The study was registered at ClinicalTrial.gov (ID: NCT04891601).