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

Assiut University

Status: Completed

Conditions: Inguinal Hernioplasty

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

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

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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