Inguinal Hernioplasty: Comparative Study Between Laparoscopic Dual Approach, Laparoscopic Trans Abdominal Preperitoneal and Lichtenstein Procedures. A Prospective Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Inguinal Hernioplasty
- Sponsor
- Assiut University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- operative time
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
This study designed to compare the new laparoscopic dual approach to inguinal hernia repair with trans-abdominal preperitoneal (TAPP) and lichtenstein repair (open procedure)
Detailed 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
Investigators
Sulaiman Abdulqader Saif Alshameri
general surgeon
Assiut University
Eligibility Criteria
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
Outcomes
Primary Outcomes
operative time
Time Frame: from the inflation of the abdomen till deflation and port closure ---for lichtenstein from skin incision to skin closure.
operative time will be measured in minutes for each procedure.and comparing three groups ( dual approach , TAPP and Lichtenstein ) in operative time which determined as follow: * from the inflation of the abdomen till deflation and port closure * for Lichtenstein from skin incision to skin closure
Secondary Outcomes
- recurrence(3 months, 6 months and one year)
- post operative pain(immediately post operative and 6 ,12, 24 hours and two weeks post operative)
- intraoperative injuries(intra operative)
- intra operative bleeding(intraoperative)
- post operative wound complication(2 weeks post operative ,3 ,6 and 12 months postoperative)
- post operative chronic pain(follow up at 3 months , 6 months and one year for pain assessment by VAS)