Clinical Study of Transabdominal Preperitoneal Approach Versus Open Tension-free Hernia Repair for the Treatment of Recurrent Inguinal Hernia
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Recurrent Inguinal Hernia
- Sponsor
- The Second Affiliated Hospital of Kunming Medical University
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- Postoperation pain
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
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.
Detailed 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.
Investigators
Weiming Li
director
The Second Affiliated Hospital of Kunming Medical University
Eligibility Criteria
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
Outcomes
Primary Outcomes
Postoperation pain
Time Frame: 24 hours, 48 hours, three months after surgery
Postoperative pain was monitored using the VAS pain scoring system (0-10 points) and recorded at 24 and 48 h. Patients with groin pain for more than 3 months were recorded during follow-up.
Secondary Outcomes
- Numbness and foreign body sensation(The mean follow-up time was 10 months after surgery)
- Operating time(During surgery)
- Hemorrhage(During surgery)
- Urinary retention(One week after surgery)
- Seroma(The mean follow-up time was 2 weeks after surgery)
- Recurrence(The mean follow-up time was 1 year after surgery)
- Fever(One week after surgery)
- Length of hospital stay(Within a week of surgery)