A Comparative Study Between TAPP And Lichtenstein Techniques for Inguinal Hernia Surgery, A Prospective Study
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Operative time
研究概览
简要总结
This study is comperative study between TAPP And Lichtenstein Techniques for Inguinal Hernia surgery.The Lichtenstein tension-free open hernioplasty involves placing a tailored polypropylene mesh over the inguinal canal defect, secured to ligament and oblique fascia under local/regional anesthesia.Transabdominal Preperitoneal (TAPP) hernia repair uses laparoscopic access via three ports (umbilicus and bilateral midclavicular lines), incises and closes a peritoneal flap, and places a large mesh in the preperitoneal space. Compression between these two procedure in terms of intraoperative ,postoperative complications and Long term follow up for recurrence of Hernia.
详细描述
Comperative study between TAPP And Lichtenstein Techniques for Inguinal Hernia surgery.
Worldwide, inguinal hernia repair is one of the commonest surgeries. The best treatment option to primary hernia has been investigated, but there still remains lack of evidence about the ideal approach.
Therefore, this study aimed to compare the outcomes of inguinal hernia repair using Trans abdominal Pre peritoneal procedure(TAPP) & Lichtenstein techniques. Primary outcomes are Operative time , Surgical site infection , Seroma , post operative ileus , bowel injury ,mesh infection , recurrence and quality of life .
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
- Single (Participant)
入排标准
- 年龄范围
- 5 Years 至 80 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •5 -80 years
- •Direct Hernia
- •Indirect hernia
排除标准
- •1 . Patient who are not fit for general anesthesia
- •Patient with lateral hernia 3 . Patient with complicated inguinal hernia like instructed and strangulated hernia
研究组 & 干预措施
Lichtenstein Techniques for Inguinal Hernia surgery using as conventional method
Participants randomized to this arm will undergo open Lichtenstein tension-free mesh repair for inguinal hernia under regional (spinal) or local anesthesia. A standard polypropylene mesh will be placed over the inguinal canal posterior wall and fixed to the inguinal ligament and conjoint tendon using non-absorbable sutures. The procedure is performed through a single inguinal incision. Patients will receive perioperative analgesia and standard postoperative care. This technique serves as the control group, reflecting conventional open hernia repair.
干预措施: Lichtenstein Tension-Free Mesh Hernioplasty (Procedure)
TAPP Repair
Participants in this arm will undergo laparoscopic Transabdominal Preperitoneal (TAPP) repair of inguinal hernia under general anesthesia. A standard 3-port laparoscopic technique will be used. After accessing the preperitoneal space, a large polypropylene mesh will be placed to cover the myopectineal orifice and fixed using tacks or glue. The peritoneal flap will be closed using absorbable sutures or staplers. Patients will receive standard laparoscopic postoperative care. This arm represents the minimally invasive surgical option.
干预措施: Laparoscopic Transabdominal Preperitoneal (TAPP) Repair (Procedure)
结局指标
主要结局
Operative time
时间窗: Intraoperative (measure during surgical procedure on day1)
Total duration of surgery in minutes, measure skin incision to reversal of pneumoperitoneum
次要结局
- Surgical site infection(Up to 30 days post operation)
- Hospital stay(From date of surgery untill discharge , assessed upto 14days)
- Postoperative ileus(Up to 5 days)
研究者
Shubham Chaubey
Junior Resident, Department of General Surgery
GSVM Medical College