Laparscopic Hernioplasty in Recurrent Inguinal Hernia

Mansoura University

Status: Completed

Conditions: Recurrent Inguinal Hernia

Treatments: Procedure: Transabdominal preperitoneal (TAPP) using polyprolene mesh; Procedure: Total extraperitoneal (TEP) hernioplasty using polyprolene mesh

Study type: Interventional

Funder types: Other

Identifiers

NCT06050538

MD.21.03.439

Details and patient eligibility

About

The purpose of this study was to compare between laparoscopic transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) repair of inguinal hernia in recurrent inguinal hernia.

Full description

The primary objective in this study was to compare postoperative pain between the TAPP group and the TEP group. The secondary objective was to compare operative time, intraoperative complications (bleeding, bowel injury, vascular injury), postoperative complications (hematoma, seroma, wound infection), length of hospital stay and recurrence rate with possible risk factors which include gender, age, BMI ,cord lipomas and location of the hernia.

Enrollment: 44 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients diagnosed with unilateral or bilateral recurrent inguinal hernias.
• Patients between 18 and 70 years old
• Fit for anesthesia.
• Agree to participate in the study
• Both genders were included.

Exclusion criteria

• Unfitness for general anesthesia and operation.
• Age < 18 years or >70 years.
• Complicated hernias (acute irreducible, obstruction or strangulation).
• The presence of mental or psychological disorders.
• Refusal to participate in the study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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44 participants in 2 patient groups

Transabdominal preperitoneal (TAPP)

Active Comparator group

Description:

patients with recurrent inguinal hernia who had Transabdominal preperitoneal (TAPP) approach

Treatment:

Procedure: Transabdominal preperitoneal (TAPP) using polyprolene mesh

Total extraperitoneal (TEP) approach

Active Comparator group

Description:

patients with recurrent inguinal hernia who had Total extraperitoneal (TEP) approach

Treatment:

Procedure: Total extraperitoneal (TEP) hernioplasty using polyprolene mesh