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A comparison of hernia sac ligation versus invagination in patients with supra-scrotal to high scrotal indirect inguinal hernia undergoing laparoscopic transabdominal preperitoneal hernia repair: a randomized controlled study.

A comparison of hernia sac ligation versus invagination in patients with supra-scrotal to high scrotal indirect inguinal hernia undergoing laparoscopic transabdominal preperitoneal hernia repair: a randomized controlled study.

Status
Unknown
Phases
Phase 2
Study type
Interventional
Source
TCTR
Registry ID
TCTR20230725001
Enrollment
60
Registered
2023-07-25
Start date
2023-09-01
Completion date
Unknown
Last updated
2026-08-03

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

Conditions

Patients with indirect inguinal hernia where the hernia sac protrudes to supra-scrotal to high scrotal levels undergoing laparoscopic transabdominal preperitoneal hernia repair (TAPP) surgery. Clinical Trail, Herniorrahphy, Indirect Inguinal hernia, Laparoscopic Assisted Surgery,

Interventions

laparoscopic transabdominal preperitoneal hernia repair (TAPP) steps are as followings: 1. Laparoscopic entering abdominal cavity with CO2 insufflation (Pneumoperitoneum) (12 mmHg) 2. Peritoneal incis
Active Comparator Procedure/Surgery,Experimental Procedure/Surgery
Invagination of hernia sac,Ligation and division of hernia sac

Sponsors

Sawanpracharak Hospital Medical Education Center
Lead Sponsor

Eligibility

Sex/Gender
All
Age
15 Years to 80 Years

Inclusion criteria

Inclusion criteria: 1. Adults (Age 15 to 80 years old) with primary indirect inguinal hernia 2. Hernia sac extended to supra-scrotal to high scrotal levels (patients straining while standing) 3. ASA I, II, or stable III

Exclusion criteria

Exclusion criteria: 1. Contraindication for laparoscopic surgery; poor cardiopulmonary function or end-organ dysfunction, unstable ASA III or IV 2. History of abdominal surgery or laparoscopic surgery involves pelvic area. 3. Coagulopathy 4. Recurrent or bilateral hernia

Design outcomes

Primary

MeasureTime frame
Postoperative pain 4, 8, 24, 48, 72 hours postoperative numeric rating scale—

Secondary

MeasureTime frame
Hematoma/ Seroma formation 1 week, 1 month, 3 months Physical examination—

Countries

Thailand

Contacts

Public ContactSuppadech Tunruttanakul

Sawanpracharak Hospital

suppadech_t@spr.go.th056219888

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 9, 2026