A Comparative Study Between TAPP and Lichtenstein Techniques for Inguinal Hernia Surgery

GSVM Medical College

Status: Active, not recruiting

Conditions: Hernia Inguinal

Treatments: Procedure: Lichtenstein Tension-Free Mesh Hernioplasty; Procedure: Laparoscopic Transabdominal Preperitoneal (TAPP) Repair

Study type: Interventional

Funder types: Other

Identifiers

NCT07067281

EC/BMHR/2024/34

Details and patient eligibility

About

This study is comperative study between TAPP And Lichtenstein Techniques for Inguinal Hernia surgery.The Lichtenstein tension-free open hernioplasty involves placing a tailored polypropylene mesh over the inguinal canal defect, secured to ligament and oblique fascia under local/regional anesthesia.Transabdominal Preperitoneal (TAPP) hernia repair uses laparoscopic access via three ports (umbilicus and bilateral midclavicular lines), incises and closes a peritoneal flap, and places a large mesh in the preperitoneal space. Compression between these two procedure in terms of intraoperative ,postoperative complications and Long term follow up for recurrence of Hernia.

Full description

Comperative study between TAPP And Lichtenstein Techniques for Inguinal Hernia surgery.

Worldwide, inguinal hernia repair is one of the commonest surgeries. The best treatment option to primary hernia has been investigated, but there still remains lack of evidence about the ideal approach.

Therefore, this study aimed to compare the outcomes of inguinal hernia repair using Trans abdominal Pre peritoneal procedure(TAPP) & Lichtenstein techniques. Primary outcomes are Operative time , Surgical site infection , Seroma , post operative ileus , bowel injury ,mesh infection , recurrence and quality of life .

Enrollment: 60 patients

Sex: All

Ages: 5 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria: 1. 5 -80 years 2. Any gender 3. Direct Hernia 4. Indirect hernia

Exclusion Criteria: 1 . Patient who are not fit for general anesthesia 2. Patient with lateral hernia 3 . Patient with complicated inguinal hernia like instructed and strangulated hernia

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

Lichtenstein Techniques for Inguinal Hernia surgery using as conventional method

Active Comparator group

Description:

Participants randomized to this arm will undergo open Lichtenstein tension-free mesh repair for inguinal hernia under regional (spinal) or local anesthesia. A standard polypropylene mesh will be placed over the inguinal canal posterior wall and fixed to the inguinal ligament and conjoint tendon using non-absorbable sutures. The procedure is performed through a single inguinal incision. Patients will receive perioperative analgesia and standard postoperative care. This technique serves as the control group, reflecting conventional open hernia repair.

Treatment:

Procedure: Lichtenstein Tension-Free Mesh Hernioplasty

TAPP Repair

Experimental group

Description:

Participants in this arm will undergo laparoscopic Transabdominal Preperitoneal (TAPP) repair of inguinal hernia under general anesthesia. A standard 3-port laparoscopic technique will be used. After accessing the preperitoneal space, a large polypropylene mesh will be placed to cover the myopectineal orifice and fixed using tacks or glue. The peritoneal flap will be closed using absorbable sutures or staplers. Patients will receive standard laparoscopic postoperative care. This arm represents the minimally invasive surgical option.

Treatment:

Procedure: Laparoscopic Transabdominal Preperitoneal (TAPP) Repair