Surgery
Conditions
Interventions
Sponsors
Eligibility
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
| Measure | Time 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
| Measure | Time 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
Lecturer of general surgery department Ain shams university