Unilateral or bilateral inguinal hernia requiring surgical treatment Injury, Occupational Diseases, Poisoning Unilateral or bilateral inguinal hernia
Conditions
Interventions
Participants are randomised using computer-generated randomized numbers in sealed envelopes to either:
Single-incision laparoscopy totally extraperitoneal (SILTEP) inguinal hernia repair:
A 1.5 cm um
Sponsors
Saint-Pierre University Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Adult patients (aged 18 years or over) 2. Unilateral or bilateral inguinal hernia 3. Patient’s approval
Exclusion criteria
Exclusion criteria: 1. Age <18 years 2. Patient refusal to partecipate in the study 3. Inability to receive general anesthesia 4. Concomitant surgical procedures out of hernia repair
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mid-term outcomes: 1. Late postoperative complications, measured using the number of umbilical hematoma, inguinal hematoma, inguinal seroma (no case reported), umbilical infection (no case reported), testicular atrophy and chronic pain reported by each patient at follow-up (after 30 days from surgery and during interview) 2. Late inguinal hernia recurrence, measured using the number of inguinal hernia recurrence reported by each patient at follow-up (after 30 days from surgery and during interview) 3. Surgical satisfaction, measured using a numerical rating scale (NRS) at follow-up (during interview) 4. Cosmetic satisfaction, measured using a score questionnaire at follow-up (during interview) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Perioperative outcomes: 1.1. Operative time, calculated using the time from the skin incision until fascia closure at the end of surgical procedure 1.2. Mesh fixation, measured using the number of tack devices used to fix the mesh (if it was necessary) at the end of surgical procedure. (one tack device was used for each mesh fixed) 1.3. Operative complications, measured using the number of peritoneal tear repair, epigastric vessels injury, corona mortis bleeding and conversion to TAPP (transabdominal preperitoneal) repair during surgical procedure 1.4. Postoperative pain, assessed using a visual analogue scale (VAS) at 6, 12, 18 and 24 hours after surgery 1.5. Hospital stay, measured using the number of days of patient’s hospitalization 2. Short-term outcomes: 2.1. Early postoperative complications, measured using the number of umbilical hematoma, inguinal hematoma, inguinal seroma, umbilical infection (abscess), urinary retention and testicular atrophy at office consultation on 7 and 30 days from surgery 2.2. Early inguinal hernia recurrence, measured using the number of inguinal hernia recurrence reported by each patient at office consultation on 7 and 30 days from surgery 2.3. Days to return to activity daily living (ADL), measured using the number of days necessary to return to ADL for each patient evaluated at consultation on 7 and 30 days from surgery or during the interview | — |
Countries
Belgium
Outcome results
None listed