Hernia Inguinal
Conditions
Keywords
Trans abdominal preperitoneal repair, Operative time, Surgical site infection, Recurrence, Seroma, Mesh infection
Brief summary
This study is comperative study between TAPP And Lichtenstein Techniques for Inguinal Hernia surgery.The Lichtenstein tension-free open hernioplasty involves placing a tailored polypropylene mesh over the inguinal canal defect, secured to ligament and oblique fascia under local/regional anesthesia.Transabdominal Preperitoneal (TAPP) hernia repair uses laparoscopic access via three ports (umbilicus and bilateral midclavicular lines), incises and closes a peritoneal flap, and places a large mesh in the preperitoneal space. Compression between these two procedure in terms of intraoperative ,postoperative complications and Long term follow up for recurrence of Hernia.
Detailed description
Comperative study between TAPP And Lichtenstein Techniques for Inguinal Hernia surgery. Worldwide, inguinal hernia repair is one of the commonest surgeries. The best treatment option to primary hernia has been investigated, but there still remains lack of evidence about the ideal approach. Therefore, this study aimed to compare the outcomes of inguinal hernia repair using Trans abdominal Pre peritoneal procedure(TAPP) & Lichtenstein techniques. Primary outcomes are Operative time , Surgical site infection , Seroma , post operative ileus , bowel injury ,mesh infection , recurrence and quality of life .
Interventions
PROCEDURELichtenstein Tension-Free Mesh Hernioplasty
Open surgical repair of inguinal hernia using a tension-free mesh technique. A standard polypropylene mesh is placed over the posterior wall of the inguinal canal and fixed with non-absorbable sutures under spinal or local anesthesia. This is a conventional method widely used in open hernia surgery.
Laparoscopic approach to inguinal hernia repair performed under general anesthesia. Three ports are used to access the abdominal cavity, and a peritoneal flap is created to place a large polypropylene mesh in the preperitoneal space. The mesh is fixed with tacks or glue, and the peritoneal flap is closed. This minimally invasive method is designed to reduce postoperative pain and enhance recovery.
Sponsors
GSVM Medical College
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Intervention model description
Randomized parallel Group,Active trial with computer generated randomization
Eligibility
Sex/Gender
ALL
Age
5 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
1. 5 -80 years 2. Any gender 3. Direct Hernia 4. Indirect hernia \-
Exclusion criteria
1 . Patient who are not fit for general anesthesia 2. Patient with lateral hernia 3 . Patient with complicated inguinal hernia like instructed and strangulated hernia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Operative time | Intraoperative (measure during surgical procedure on day1) | Total duration of surgery in minutes, measure skin incision to reversal of pneumoperitoneum |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative ileus | Up to 5 days | Delayed return of bowel function by flatus or bowel movement, abdominal distention or need for nasogastic tube decompression |
| Surgical site infection | Up to 30 days post operation | Superficial and deep wound infection including erythema , discharge or wound dehiscence |
| Hospital stay | From date of surgery untill discharge , assessed upto 14days | Total number of days the date of operation to discharge from hospital |
Countries
India
Outcome results
None listed