Laparscopic Hernioplasty in Recurrent Inguinal Hernia

Not Applicable

Completed

• Conditions: Recurrent Inguinal Hernia
• Interventions: Procedure: Total extraperitoneal (TEP) hernioplasty using polyprolene mesh; Procedure: Transabdominal preperitoneal (TAPP) using polyprolene mesh

• Registration Number: NCT06050538
• Lead Sponsor: Mansoura University

Brief Summary

The purpose of this study was to compare between laparoscopic transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) repair of inguinal hernia in recurrent inguinal hernia.

Detailed Description

The primary objective in this study was to compare postoperative pain between the TAPP group and the TEP group. The secondary objective was to compare operative time, intraoperative complications (bleeding, bowel injury, vascular injury), postoperative complications (hematoma, seroma, wound infection), length of hospital stay and recurrence rate with possible risk factors which include gender, age, BMI ,cord lipomas and location of the hernia.

Study Timeline

• Study Start: 2021-02-01
• Primary Completion: 2023-02-01
• Study Completion: 2023-08-01
• Study First Submitted: 2023-08-21
• Status Verified: 2023-09
• Study First Submitted QC: 2023-09-21
• Last Update Submitted: 2023-09-21
• Study First Posted: 2023-09-22
• Last Update Posted: 2023-09-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 44

Inclusion Criteria

• Patients diagnosed with unilateral or bilateral recurrent inguinal hernias.
• Patients between 18 and 70 years old
• Fit for anesthesia.
• Agree to participate in the study
• Both genders were included.

Exclusion Criteria

• Unfitness for general anesthesia and operation.
• Age < 18 years or >70 years.
• Complicated hernias (acute irreducible, obstruction or strangulation).
• The presence of mental or psychological disorders.
• Refusal to participate in the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Total extraperitoneal (TEP) approach	Total extraperitoneal (TEP) hernioplasty using polyprolene mesh	patients with recurrent inguinal hernia who had Total extraperitoneal (TEP) approach
Transabdominal preperitoneal (TAPP)	Transabdominal preperitoneal (TAPP) using polyprolene mesh	patients with recurrent inguinal hernia who had Transabdominal preperitoneal (TAPP) approach

Primary Outcome Measures

Name	Time	Method
Postoperative pain	6 months	by use of visual analog scale (VAS) where (0) refereed to no pain and (10) refereed to the severest pain.

Secondary Outcome Measures

Name	Time	Method
operative time	6 months	operative time by minutes was reported to get mean and standard deviation
complications	6 months	complications will be described as number and percentages in each group

Trial Locations

Locations (1)

Mansoura University Hospitl; 🇪🇬 Mansoura, Egypt