Evaluating the Effect of Drainage on the Incidence of Seroma After Laparoscopic Trans Abdominal Preperitoneal Inguinal Hernia Repair
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 48
- 试验地点
- 1
- 主要终点
- Incidence of patients suffering from Seroma
研究概览
简要总结
The aim of the study is to evaluate the effect of drainage on the incidence of seroma after laparoscopic transabdominal preperitoneal inguinal hernia repair.
详细描述
Inguinal hernia repair is one of the most common surgical conditions encountered in primary care settings. Globally, around 20 million groin hernia repairs are performed each year. Surgical procedure is the gold standard treatment for inguinal hernia repair.
Laparoscopic hernioplasty is suitable for patients with inguinal hernia who can undergo general anesthesia, especially in cases like hernia recurrence after open repair, bilateral hernias, and simultaneous procedures like cholecystectomy.
Although open mesh repair has already demonstrated a low recurrence rate, laparoscopic mesh repair has become increasingly popular in recent years due to its benefits, including a better view of the groin anatomy, ease in addressing bilateral hernias, and superior cosmetic outcomes. The two most widely used laparoscopic mesh repair techniques are Totally Extra peritoneal (TEP) and Trans abdominal Preperitoneal (TAPP) repair, both of which are based on the myopectineal orifice theory. The key difference between TEP and TAPP lies in the method used to access the preperitoneal space.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged from18 to 70 years.
- •Both sexes.
- •Patients were diagnosed with all types of inguinal hernia who are candidates for elective trans-abdominal Preperitoneal (TAPP) repair.
排除标准
- •Previous history of pelvic or lower abdominal surgery.
- •Coagulopathy.
- •Any condition contraindicating laparoscopic surgery.
- •Patients with complicated hernia (irreducible/incarcerated or obstructed/strangulated hernia).
- •Active infections.
- •Uncorrected medical comorbidities.
- •Bilateral inguinal hernia either preoperative or intraoperative diagnosis.
结局指标
主要结局
Incidence of patients suffering from Seroma
时间窗: 6 months post-procedure
Incidence of patients suffering from Seroma in each group after Transabdominal preperitoneal inguinal hernia repair.
次要结局
- Degree of pain(24 hours post-procedure)
- Degree of patient satisfaction(24 hours post-procedure)
- Measurement of operative time(Till closure of the skin (Up to 60 minutes).)
- Incidence of recurrence(6 months post-procedure)
研究者
Adam Abdirashid Ahmed
MSc Candidate in General Surgery, Faculty of Medicine, Cairo University, Giza, Egypt
Cairo University