The goal of this clinical trial is to learn if a laparoscopic surgery called Transabdominal Preperitoneal (TAPP) repair is safe and works well for adults with a recurrent inguinal hernia (a groin hernia that has returned after a previous operation). The main questions it aims to answer are: Does the TAPP technique lower the number of complications after surgery? How well do participants recover during the early postoperative period and long-term follow-up? Fixing a hernia that has returned is hard because of old scar tissue. In this study, researchers will use the TAPP technique to work through a different layer of tissue to provide a stronger repair. Participants will: Undergo the TAPP laparoscopic surgery for their recurrent hernia. Visit the clinic for close health monitoring shortly after surgery. Complete regular follow-up checkups to track their long-term recovery.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
10
The surgical procedure will be performed under general anesthesia. Standard laparoscopic instruments will be used to access the peritoneal cavity. The peritoneum over the recurrent inguinal hernia site will be incised to enter the preperitoneal space. After reduction of the hernia sac and clearing of post-operative adhesions, a synthetic mesh will be placed to cover the hernia defects. The mesh will be secured if necessary, and the peritoneal flap will be closed using sutures or tacks.
Faculty of medicine
Sohag, Egypt
RECRUITINGFeasibility and Technical Success of Laparoscopic TAPP
Evaluation of the feasibility of the TAPP approach in recurrent inguinal hernias, measured by the rate of successful laparoscopic completion without the need for intraoperative conversion to open surgery due to severe scar tissue or adhesions.
Time frame: During the intraoperative procedure (Day of surgery)
Post-operative Pain
Assessment of pain severity using the Visual Analog Scale (VAS), which ranges from 0 (no pain) to 10 (worst possible pain).
Time frame: At 24 hours, 1 week, and 1 month post-operatively
Hernia Recurrence
The percentage of patients who experience another clinical return of the inguinal hernia after the TAPP repair. Recurrence will be detected through physical examination during follow-up, and confirmed by groin ultrasound or CT scan if a hernia is clinically suspected.
Time frame: 4 months
Operative Time
The total duration of the surgical procedure calculated in minutes from the skin incision to the final closure
Time frame: During the surgical procedure (Day of surgery)
Length of Hospital Stay
The total number of hours or days from the end of the surgery until the patient is officially discharged from the hospital.
Time frame: From the day of surgery up to hospital discharge (typically 1-2 days)
Incidence of Post-operative Complications
Detection of any early complications like seroma, hematoma, or wound infection.
Time frame: Up to 4 months post-operatively
Incidence of Intraoperative Complications
The percentage of patients experiencing any surgical complications during the operation, such as urinary bladder injury, bowel injury, or major vascular bleeding
Time frame: During the surgical procedure (Day of surgery)
Time to Return to Normal Daily Activities
The total number of days taken by the patient to independently resume their baseline activities of daily living and return to light work/routine post-surgery.
Time frame: Up to 4 months post-operatively
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