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Impact of Defect Closure on Outcomes in Laparoscopic Direct Inguinal Hernia Repair: A Prospective Comparative Study

Impact of Defect Closure on Outcomes in Laparoscopic Direct Inguinal Hernia Repair: A Prospective Comparative Study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
PACTR
Registry ID
PACTR202607799152725
Enrollment
126
Registered
2026-07-31
Start date
2023-12-01
Completion date
Unknown
Last updated
2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Surgery

Interventions

Defect closure
Non defect closure

Sponsors

Authors with no external sponsorship
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Any case with direct inguinal hernia candidate for laparoscopic TAPP, 18- 70 years old, male or female, either unilateral or bilateral hernia.

Exclusion criteria

Exclusion criteria: we excluded the cases with indirect inguinal hernia, direct inguinal hernia without defect, cases with concomitant procedure or other groin hernia, complicated hernia, recurrent hernia, cases who were converted to open approach, cases who were unfit for general anesthesia or pneumoperitoneum, and cases with coagulopathy.

Design outcomes

Primary

MeasureTime frame
The primary outcome was postoperative seroma formation. Seroma was defined as a localized fluid collection in the preperitoneal space detected by ultrasonography at the 1-month follow-up visit or as a clinically evident, non-tender hemispherical swelling at the surgical site without a cough impulse, subsequently confirmed by ultrasonography during the follow-up period.

Secondary

MeasureTime frame
Secondary outcomes included intraoperative variables (operative time, estimated blood loss, intraoperative complications, and conversion to open surgery) and postoperative outcomes (length of hospital stay, postoperative pain, hematoma, orchitis, urinary retention, surgical site infection, and early hernia recurrence). Postoperative pain was assessed using the Visual Analog Scale (VAS), ranging from 0 (no pain) to 10 (worst imaginable pain), on postoperative day 1 and during follow-up visits at 1 week and 1 month.

Countries

Egypt

Contacts

Public ContactAhmed Saad

Lecturer of general surgery department Ain shams university

ahmedsaeed@med.asu.edu.eg00201001600271

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Sep 19, 2026