Recurrent Inguinal Hernia
Conditions
Keywords
TAPP, TEP, Laparoscopic Inguinal Hernia, Recurrent hernia
Brief summary
The purpose of this study was to compare between laparoscopic transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) repair of inguinal hernia in recurrent inguinal hernia.
Detailed description
The primary objective in this study was to compare postoperative pain between the TAPP group and the TEP group. The secondary objective was to compare operative time, intraoperative complications (bleeding, bowel injury, vascular injury), postoperative complications (hematoma, seroma, wound infection), length of hospital stay and recurrence rate with possible risk factors which include gender, age, BMI ,cord lipomas and location of the hernia.
Interventions
PROCEDURETransabdominal preperitoneal (TAPP) using polyprolene mesh
Transabdominal preperitoneal (TAPP) approach for recurrent inguinal hernia using polyprolene mesh
PROCEDURETotal extraperitoneal (TEP) hernioplasty using polyprolene mesh
Total extraperitoneal (TEP) approach for recurrent inguinal hernia using polyprolene mesh
Sponsors
Mansoura University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Masking description
Each patient was randomly allocated to the TAPP group or the TEP group by sequentially numbered, opaque , sealed envelope (SNOSE) technique on the day of surgery. An independent statistician , who was not involved in patient care, generated the randomization sequence via a computer generated random number. The randomization code was contained in opaque sealed envelopes. A junior resident , who opened the envelope , was not actively involved in outcome measurements .Before randomization and during the consent, all patients received an explanation of the objectives of the study, techniques and complications associated with both procedures.
Intervention model description
patients diagnosed with recurrent inguinal hernia. The study population were randomly distributed into 2 groups by computer generating program; group (1) included patients who had Transabdominal preperitoneal (TAPP) approach while group (2) included patients who had Total extraperitoneal (TEP) approach.
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Patients diagnosed with unilateral or bilateral recurrent inguinal hernias. * Patients between 18 and 70 years old * Fit for anesthesia. * Agree to participate in the study * Both genders were included.
Exclusion criteria
* Unfitness for general anesthesia and operation. * Age \< 18 years or \>70 years. * Complicated hernias (acute irreducible, obstruction or strangulation). * The presence of mental or psychological disorders. * Refusal to participate in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain | 6 months | by use of visual analog scale (VAS) where (0) refereed to no pain and (10) refereed to the severest pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| operative time | 6 months | operative time by minutes was reported to get mean and standard deviation |
| complications | 6 months | complications will be described as number and percentages in each group |
Countries
Egypt
Outcome results
None listed