Recurrent Inguinal Hernia
Conditions
Brief summary
The objective of this study was to explore the clinical efficacy of transabdominal preperitoneal approach (TAPP) and open tension-free hernia repair in the treatment of recurrent inguinal hernia. This study aims to provide a basis for selecting the optimal treatment methods for recurrent hernias.
Detailed description
The patients were randomly allocated to the TAPP group and the open tension-free repair group. We recorded the general situation, operation time, and intraoperative complications; postoperative visual analogue pain scale (VAS) scores at 24 and 48 h; and the incidence of complications such as seroma, chronic pain, inguinal numbness, foreign body sensation, and recurrence at 1 week, 1 month, 3 months, 6 months and 1 year after surgery. These indicators were compared between the two groups of patients.
Interventions
PROCEDURETransabdominal preperitoneal approach
The enrolled patients underwent either open tension-free hernia repair or Transabdominal preperitoneal approach
Sponsors
The Second Affiliated Hospital of Kunming Medical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* age ≥ 18 years * the diagnosis of recurrent inguinal hernia made by ultrasound or computed tomography (CT) during the present visit * ability to tolerate general anesthesia and local anesthesia surgery * all patients and their families agreed to participate in this study and sign relevant informed consent.
Exclusion criteria
* patch infection during the first surgery * multiple (≥ 2) relapses * inability to cooperate to complete follow-up after surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperation pain | 24 hours, 48 hours, three months after surgery | Postoperative pain was monitored using the VAS pain scoring system (0-10 points) and recorded at 24 and 48 h. Patients with groin pain for more than 3 months were recorded during follow-up. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Operating time | During surgery | Record the patient's operating time |
| Hemorrhage | During surgery | The amount of surgical bleeding was recorded |
| Urinary retention | One week after surgery | Urinary retention was observed and recorded after operation |
| Numbness and foreign body sensation | The mean follow-up time was 10 months after surgery | The occurrence of groin numbness and foreign body sensation after operation was recorded |
| Recurrence | The mean follow-up time was 1 year after surgery | The recurrence of patients after operation was observed and recorded |
| Fever | One week after surgery | The postoperative fever was observed and recorded |
| Length of hospital stay | Within a week of surgery | The patient's length of stay was recorded |
| Seroma | The mean follow-up time was 2 weeks after surgery | The occurrence of postoperative seroma was observed and recorded |
Countries
China
Contacts
Primary ContactWeiming Li
Outcome results
None listed