Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Trans Abdominal Pre-Peritoneal Repair in treatment of Primary Unilateral Inguinal Hernia: General Anesthesia with muscle relaxant. Pneumoperitoneum is established. Reduce hernia into ab
Sponsors
Dr Budarapu Vishnu Vardhan
Eligibility
Inclusion criteria
Inclusion criteria: 1.Primary unilateral inguinal hernia 2.Direct or Indirect hernia 3.Adult patients (Age more than 18 years and less than 60 years)
Exclusion criteria
Exclusion criteria: 1.Female gender 2.Age less than 18 Years and more than 60 Years 3.Recurrent inguinal hernia on same side 4.Concomitant another procedure of hernia 5.Bilateral inguinal hernia with repair on both sides. 6.Patients not willing to be part of the study or assigned group. 7.Hernias from other than inguinal region. 8.Patients with previous lower Abdominal surgery or Trauma that may complicate laparoscopic access 9.Complicated hernia: Patients with obstructed, strangulated, or incarcerated hernias requiring emergency surgery 10.Patients with previous history of Diabetes Mellitus. 11.Patients with severe cardio-pulmonary or systemic illness precluding general anaesthesia which is required for TAPP. 12.Morbid Obesity (BMI greater than or equal to 35, which may hinder laparoscopic access or increase surgical risks. 13.Anesthesia related post operative complications to be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Operative time. 2.Duration of hospital stay. 3.Time to return to normal activities or work. 4.Incidence of seroma or hematoma or surgical site infections during hospital stay. Timepoint: Operative time will be assessed intraoperatively Duration of hospital stay will be assessed postoperatively on day 1 day 3 day 5 or further if prolonged stay. Time to return to normal activities will assessed on day 1 day 3 day 5 at the time when patient comes for suture removal or further if prolonged duration. Incidence of seroma or hematoma or surgical site infections during hospital stay will be assessed on day 1 day 3 and further if prolonged hospital stay | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To evaluate the incidence ,severity of chronic pain 2.To evaluate the incidence of surgical site infections Timepoint: Chronic pain assessed at 12 weeks ,24 weeks postoperatively since chronic pain is defined as lasting beyond 3 months that is 12 weeks. Surgical site infections assessed during hospital stay, at 12 weeks ,at 24 weeks postoperatively or any time postoperatively till 24 weeks. | — |
Countries
India
Contacts
Public ContactDr Mukul Singh
All India Institute of Medical Sciences Gorakhpur
Outcome results
None listed