Postoperative Pain After Endoscopic TEP vs. Lichtenstein Hernioplasty in Inguinal Hernia Repair

Kuopio University Hospital

Status: Completed

Conditions: Hernia; Inguinal Hernia

Treatments: Procedure: Lichtenstein; Procedure: Tep surgery for inguinal hernia

Study type: Interventional

Funder types: Other

Identifiers

NCT03566433

KuopioUH

Details and patient eligibility

About

Immediate pain reaction and return to work after TEP or Lichtenstein hernia repair have not been studied. In this multicenter trial the patients are allocated to surgery using TEP (n=50) or Lichtenstein (n=50) technique. Pain and return to work are recorded postoperatively up to one month. Immediate and late complications are also analyzed.

Full description

Patient characteristics are recorded before surgery. The adult patients with inguinal hernia are randomized into endoscopic totally extraperitoneal hernioplasty (TEP) or open Lichtenstein hernioplasty. Pain reaction to surgery and return to work are asked many times using questionnaire and pain diary (pain scores from 1h to 30 days after surgery). Surgical complications and use of pain killers are carefully recorded. Clinical examination is performed if necessary.

Enrollment: 200 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Clinical diagnosis of symptomatic inguinal hernia Age 18-80

Exclusion criteria

Large scrotal hernia Bilateral hernia Symptom-free hernia Inguinal pain without clinical evidence of hernia Asa class≥3

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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200 participants in 2 patient groups

Endoscopic TEP surgery

Active Comparator group

Description:

Routine total extraperitoneal technique surgery for inguinal hernia

Treatment:

Procedure: Tep surgery for inguinal hernia

Open Lichtenstein hernioplasty

Active Comparator group

Description:

Routine lichtenstein surgery for inguinal hernia

Treatment:

Procedure: Lichtenstein