A Comparative Study of 3-point With 1-point Mesh Fixation in TAPP for Gilbert Type III Inguinal Hernia

Nanchong Central Hospital

Status: Completed

Conditions: Seroma; Hernia, Inguinal; Chronic Pain; Infections; Recurrence; Hematoma

Treatments: Procedure: Lightweight mesh fixation

Study type: Interventional

Funder types: Other

Identifiers

NCT05929378

2023031

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 type Ⅲ gilbert 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 indirect inguinal hernia according to preoperative physical examination and imaging examination.

The inclusion criteria were as follows: primary indirect inguinal hernia classified as Gilbert III (defect size diameter ≥3cm, including scrotal hernias)

Exclusion criteria

Age below 18 years or older than 80. Direct hernia, femoral hernia, 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:

Lightweight Mesh Fixation with 3-point Fixation. First fixation is in cooper ligament. Second fixation is in the back of rectus abdominis. Third fixation is in the later of tractus iliopubicus.

Treatment:

Procedure: Lightweight mesh fixation

1-point fixation group

Active Comparator group

Description:

Lightweight Mesh Fixation with 1-point Fixation in the back of rectus abdominis.

Treatment:

Procedure: Lightweight mesh fixation