TAPP and Open Repair for Recurrent Inguinal Hernia

Kunming Medical University

Status: Enrolling

Conditions: Recurrent Inguinal Hernia

Treatments: Procedure: Transabdominal preperitoneal approach

Study type: Interventional

Funder types: Other

Identifiers

NCT06604572

PJ-2022-85

Details and patient eligibility

About

The objective of this study was to explore the clinical efficacy of transabdominal preperitoneal approach (TAPP) and open tension-free hernia repair in the treatment of recurrent inguinal hernia. This study aims to provide a basis for selecting the optimal treatment methods for recurrent hernias.

Full description

The patients were randomly allocated to the TAPP group and the open tension-free repair group. We recorded the general situation, operation time, and intraoperative complications; postoperative visual analogue pain scale (VAS) scores at 24 and 48 h; and the incidence of complications such as seroma, chronic pain, inguinal numbness, foreign body sensation, and recurrence at 1 week, 1 month, 3 months, 6 months and 1 year after surgery. These indicators were compared between the two groups of patients.

Enrollment: 70 estimated patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• age ≥ 18 years
• the diagnosis of recurrent inguinal hernia made by ultrasound or computed tomography (CT) during the present visit
• ability to tolerate general anesthesia and local anesthesia surgery
• all patients and their families agreed to participate in this study and sign relevant informed consent.

Exclusion criteria

• patch infection during the first surgery
• multiple (≥ 2) relapses
• inability to cooperate to complete follow-up after surgery

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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70 participants in 2 patient groups

Transabdominal preperitoneal approach surgery group

Experimental group

Description:

The enrolled patients were treated with Transabdominal preperitoneal approach

Treatment:

Procedure: Transabdominal preperitoneal approach

Open tension-free hernia repair group

Other group

Description:

The enrolled patients were treated with open tension-free hernia repair

Treatment:

Procedure: Transabdominal preperitoneal approach