Unilateral Inguinal hernia. Unilateral or unspecified inguinal hernia, without obstruction or gangrene
Conditions
Interventions
Intervention 1: Patients undergo general anesthesia and surgery is performed in trendlenberg position. Half an hour before surgery 1 gram of cefazoline is injected intravenously. CO2 Insufflation is p
Treatment - Surgery
Patients undergo general anesthesia and surgery is performed in trendlenberg position. Half an hour before surgery 1 gram of cefazoline is injected intravenously. CO2 Insufflation is performed via ope
In second group, mesh is spread in the same space but it is fixed with a 2-0 vickryl suture to a point over the internal ring.
Sponsors
Isfahan University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: age 18-70; good general condition for general anesthesia; good condition for TAPP procedure Exclusion criteria: Laparascopic surgery contraindications such as cardiovascular problems and portal hypertension; ASA IV or V; drug abuse; general surgery contraindications; laparascopic pelvic surgery contraindications; huge scrotal hernia; bowel obstruction; bowel incarceration; bowel perforation; peritonitis; local or systemic infection; previous hernia repair with mesh; history of prostatectomy; life expectancy less than 2 years; diabetic poly neuropathy; spondyloarthrosis with dorsal lumbar nerves involvement
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Anti pain medication requirement after surgery. Timepoint: daily for 1 week after surgery. Method of measurement: Questionnaire.;Pain severity after surgery. Timepoint: daily for 1 week after surgery. Method of measurement: VAS Questionnaire.;Seroma formation. Timepoint: 1 week, 1, 3 & 6 months after surgery. Method of measurement: Questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| Days of hospital stay. Timepoint: Daily. Method of measurement: Questionnaire.;Reccurence. Timepoint: 1 week, 1,3 & 6 months after surgery. Method of measurement: Physical exam.;Days befor return to work after surgery. Timepoint: Daily. Method of measurement: Questionnaire.;Surgery duration. Timepoint: Minutes. Method of measurement: Questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Mohammad Yaribakht
Isfahan University of Medical Sciences
Outcome results
None listed