Inguinal hernia repair remains one of the most commonly performed surgical procedures worldwide. Tension-free repair with mesh augmentation is the predominant treatment option, either achieved by preperitoneal laparoscopic hernioplasty or Lichtenstein procedure (LP). As the recurrence rate is reduced to less than 5 % after mesh repair, nowadays, long-term morbidity associated with open inguinal hernia repair is mainly related to chronic postoperative inguinal pain (CPIP). Despite many hypotheses about the possible causes for CPIP, there is now consensus that involvement of inguinal nerves plays a major role. The trans rectus sheath extra-peritoneal procedure (TREPP) is a minimally invasive open approach utilizing the rectus sheath to access the preperitoneal space. It has shown promise in providing effective repair with potential advantages in cosmesis, postoperative pain, and recurrence rates. It is a medial approach avoiding the interference with the course of all (three) inguinal nerves through lateral abdominal wall.
This is a prospective cohort study
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
30
The TREPP technique, a minimally invasive open approach utilizing the rectus sheath to access the preperitoneal space
Faculty of Medicine-Assiut University -Assiut-Egypt
Asyut, Asyut Governorate, Egypt
RECRUITINGRecurrence rate
Number and percentage of patients with recurrence of hernia after surgery
Time frame: through study completion, an average of 1 year
Incidence of chronic postoperative inguinal pain
Number and percentage of patients with groin pain that lasts more than three months after inguinal hernia surgery
Time frame: 3 months after surgery
Faculty of Medicine-Assiut University
CONTACT
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