Comparative Study Between Lap. Dual Approach, Lap. Trans Abdominal Pre-peritoneal and Lichtenstein Procedures

A

Assiut University

Status

Completed

Conditions

Inguinal Hernioplasty

Treatments

Procedure: dual approach laparoscopic inguinal hernioplasty
Procedure: TAPP
Procedure: (lichtenstein) repair

Study type

Interventional

Funder types

Other

Identifiers

NCT03052023
IHPP3

Details and patient eligibility

About

This study designed to compare the new laparoscopic dual approach to inguinal hernia repair with trans-abdominal preperitoneal (TAPP) and lichtenstein repair (open procedure)

Full description

inguinal hernioplasty is a procedures where synthetic mesh is used to strengthen the inguinal tissues sites for hernia repair different methods used which is either anterior approach (open Lichtenstein) or laparoscopic posterior approach through the abdomen (TAPP) comparing these two methods by new approach which is considered to some extent a modified TAPP by pneumo-dissection of pre-peritoneal space with abdominal approach by lap. repair

Enrollment

60 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Adult male patient (older than 18y).
  • Not complicated.
  • No previous lower abdominal incisions (lower abdominal midline and lower paramedian incision in the same side of hernia).
  • No contraindication for general anesthesia.
  • Not recurrent.

Exclusion criteria

any one not in fulfill inclusion criteria

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

60 participants in 3 patient groups

group A (dual approach lap hernioplasty)
Experimental group
Description:
dual approach laparoscopic inguinal hernioplasty by combination of TAPP (group B) and pneumo-dissection preperitoneal instead of sharp dissection
Treatment:
Procedure: dual approach laparoscopic inguinal hernioplasty
group B (TAPP)
Active Comparator group
Description:
trans-abdominal preperitoneal hernioplasty (TAPP) after induction of pneumoperitoneum through peritoneal approach peritoneal incision and preperitoneal dissection then mesh fixation done
Treatment:
Procedure: TAPP
group C (Lichtenstein hernioplasty)
Active Comparator group
Description:
open inguinal hernioplasty (lichtenstein) repair through inguinal incision and dissection of the sac anteriorly , excision of the sac and then mesh fixation in the posterior wall of inguinal canal
Treatment:
Procedure: (lichtenstein) repair

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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