Comparison of Laparoscopic Totally Extraperitoneal (TEP) and Lichtenstein Technique

Kocaeli Derince Education and Research Hospital

Status: Completed

Conditions: Hernia, Inguinal

Treatments: Procedure: inguinal hernia repair

Study type: Interventional

Funder types: Other

Identifiers

NCT05504122

KOU KAEK 2012/161-17/14

Details and patient eligibility

About

Open tension-free mesh repair (Lichtenstein) and laparoscopic totally extraperitoneal (TEP) repair are the most commonly preferred techniques for inguinal hernia surgery. There's still a debate going on about which of these two techniques (open versus laparoscopic) is effective. This prospective randomized study aimed at comparing the early and long-term results of these two techniques (TEP vs. Lichtenstein).

Full description

Various studies comparing the laparoscopic totally extraperitoneal (TEP) and Lichtenstein techniques have been reported. These studies have shown that TEP repair is associated with less postoperative pain and faster recovery. However, there are different views on the long-term (recurrence, chronic pain, etc.) results of the two techniques. This study was designed to compare the short- and long-term outcomes of open tension-free mesh repair technique(Lichtenstein) and laparoscopic repair technique(TEP).

Enrollment: 102 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients who were diagnosed with inguinal hernia (primary, recurrent, unilateral, bilateral)
• American Society of Anesthesiologists (ASA) score of I and II
• Gave informed consent to participate in the study

Exclusion criteria

• Patients with scrotal, strangulated, or obstructed hernia
• Periumbilical or subumbilical incision scar (median, right or left paramedian)
• Undergoing prostatectomy or abdominal bladder surgery
• Pfannenstiel incision scar
• ASA score >3

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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102 participants in 2 patient groups, including a placebo group

Laparoscopic Totally Extraperitoneal (TEP)

Active Comparator group

Description:

Patients who underwent Laparoscopic Totally Extraperitoneal (TEP) will be included in this group.

Treatment:

Procedure: inguinal hernia repair

Open tension-free mesh repair technique (Lichtenstein)

Placebo Comparator group

Description:

Patients with open tension-free inguinal hernia(Lichtenstein) repair will be included in this group.

Treatment:

Procedure: inguinal hernia repair