TAPP and Open Repair for Recurrent Inguinal Hernia

The Second Affiliated Hospital of Kunming Medical University70 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Recurrent Inguinal Hernia

Interventions

Transabdominal preperitoneal approachPROCEDURE

The enrolled patients underwent either open tension-free hernia repair or Transabdominal preperitoneal approach

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

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

Locations (1)

Clinical study of recurrent inguinal hernia

Kunming, Yunnan, China

RECRUITING

Outcomes

Primary Outcomes

Postoperation pain

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.

Time frame: 24 hours, 48 hours, three months after surgery

Secondary Outcomes

Numbness and foreign body sensation

The occurrence of groin numbness and foreign body sensation after operation was recorded

Time frame: The mean follow-up time was 10 months after surgery

Operating time

Record the patient\'s operating time

Time frame: During surgery

Hemorrhage

The amount of surgical bleeding was recorded

Time frame: During surgery

Urinary retention

Urinary retention was observed and recorded after operation

Time frame: One week after surgery

Seroma

The occurrence of postoperative seroma was observed and recorded

Time frame: The mean follow-up time was 2 weeks after surgery

Recurrence

The recurrence of patients after operation was observed and recorded

Time frame: The mean follow-up time was 1 year after surgery

Fever

The postoperative fever was observed and recorded

Time frame: One week after surgery

Central Contacts

Weiming Li

CONTACT

13114225597 liweiming49@163.com

Data from ClinicalTrials.gov

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