The Transrectus Sheath Pre-peritoneal (TREPP) Technique for Strangulated Inguinal Hernia: a Case-series

Completed

• Conditions: Strangulated Inguinal Hernia
• Interventions: Procedure: emergency transrectus sheath pre-peritoneal mesh repair (e-TREPP)

• Registration Number: NCT03935490
• Lead Sponsor: University Medical Center Groningen

Brief Summary

n the Sint Jansdal Hospital in Harderwijk, the Netherlands, the TREPP technique is the standard operating procedure for patients with inguinal hernia. Starting from 2006, this procedure has also been used on patients that presented with an acute strangulated inguinal hernia in the emergency department, instead of the more common Lichtenstein technique. The goal of this retrospective case series is to assess the feasibility of the TREPP technique in case of an acute strangulated inguinal hernia. Patient records from 2006 until 2016 will be used to search for patients treated for acute inguinal hernia in that period. After applying the in- and exclusion criteria, patients who are eligible for inclusion will be contacted by telephone. They will be asked if they are willing to visit the surgical outpatient department once and fill out two questionnaires. The data of these questionnaires will be analyzed and published.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2019-04-29
• Study Start: 2019-05-01
• Study First Submitted QC: 2019-05-01
• Study First Posted: 2019-05-02
• Primary Completion: 2019-07-01
• Study Completion: 2019-07-12
• Status Verified: 2020-03
• Last Update Submitted: 2020-03-25
• Last Update Posted: 2020-03-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 45

Inclusion Criteria

• Emergency surgery for suspected strangulated inguinal hernia (within 6 hours after admission)
• e-TREPP performed

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Exclusion Criteria

• No emergency surgery (for instance, surgery day after admission or later).
• No e-TREPP performed

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
e-TREPP	emergency transrectus sheath pre-peritoneal mesh repair (e-TREPP)	Patients with strangulated inguinal hernia treated with e-TREPP

Primary Outcome Measures

Name	Time	Method
Recurrence rate	From surgery date up to 12 years postoperatively	Patient electronic records will be searched for re-operations for recurrent inguinal hernia. Also, patients will be asked in the outpatient department if they received recurrence surgery or suffer new complaints.
Chronic postoperative inguinal pain according to Visual Analog Scale	From surgery date up to 12 years postoperatively	Patients will be asked to fill out the VAS on a horizontal line of 10 millimeters long. Patients will be asked to mark the point that indicated the amount of pain they experience. The distance from the left marker will be measured, with increasing distance at greater pain intensity.

Secondary Outcome Measures

Name	Time	Method
Short-term complications	Complications occuring from the start of the operation up to 30 days postoperative	Short term complications included: hematoma, wound infection, re-admission rate, medical complications and death. These complications will be retrospectively analyzed via the electronic patient files. They will be verified at the outpatient department.
Sexual complaints related to e-TREPP	Between >30 days postoperatively and through study completion, average 6 years	All patients will be asked if they experienced any sexual problems related to the e-TREPP surgery.

Trial Locations

Locations (1)

St Jansdal Hospital; 🇳🇱 Harderwijk, Gelderland, Netherlands