3-point With 1-point Mesh Fixation in TAPP for Inguinal Hernia

Nanchong Central Hospital

Status: Completed

Conditions: Seroma; Recurrent; Chronic Pain; Infections; Inguinal Hernia; Hematoma

Treatments: Procedure: Lightweight mesh fixation in 3 points or 1 point

Study type: Interventional

Funder types: Other

Identifiers

NCT06314152

2023032

Details and patient eligibility

About

This study was designed to compare the outcome of 3 point with 1 point lightweight mesh fixation in TAPP surgery for patients with inguinal hernia. The main outcome include seroma, chronic pain, recurrence, et al.

Enrollment: 351 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Unilateral inguinal hernia according to preoperative physical examination and imaging examination.

The inclusion criteria were as follows: primary inguinal hernia.

Exclusion criteria

• Age below 18 years or older than 80. recurrent hernia, incarcerated hernia, strangulated hernia, and other types of hernias.

Patients not suitable for general anesthesia. Patients requiring open surgery; patients requiring emergency surgery Loss to follow-up or communication difficulties, or poor compliance.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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351 participants in 2 patient groups

3-point fixation group

Experimental group

Description:

Using 3-0 absorbable sutures, the mesh was secured at three key anatomical landmarks: (1) the posterior rectus sheath medially, (2) the pubic pectineal ligament (Cooper's ligament) inferiorly, and (3) the lateral edge of the iliopubic tract.

Treatment:

Procedure: Lightweight mesh fixation in 3 points or 1 point

1-point fixation group

Active Comparator group

Description:

Using 3-0 absorbable sutures, the mesh was secured at one of the following key anatomical landmarks: (1) the posterior rectus sheath medially, (2) the pubic pectineal ligament (Cooper's ligament) inferiorly, or (3) the lateral edge of the iliopubic tract. The fixation site was selected based on the most prominent anatomical landmark, with preference given to the pubic pectineal ligament (Cooper's ligament) or the lateral edge of the iliopubic tract.

Treatment:

Procedure: Lightweight mesh fixation in 3 points or 1 point