Effect of Drainage on the Incidence of Seroma After Laparoscopic Trans Abdominal Preperitoneal Inguinal Hernia Repair

Cairo University48 enrolled

Overview

The aim of the study is to evaluate the effect of drainage on the incidence of seroma after laparoscopic transabdominal preperitoneal inguinal hernia repair.

Inguinal hernia repair is one of the most common surgical conditions encountered in primary care settings. Globally, around 20 million groin hernia repairs are performed each year. Surgical procedure is the gold standard treatment for inguinal hernia repair. Laparoscopic hernioplasty is suitable for patients with inguinal hernia who can undergo general anesthesia, especially in cases like hernia recurrence after open repair, bilateral hernias, and simultaneous procedures like cholecystectomy. Although open mesh repair has already demonstrated a low recurrence rate, laparoscopic mesh repair has become increasingly popular in recent years due to its benefits, including a better view of the groin anatomy, ease in addressing bilateral hernias, and superior cosmetic outcomes. The two most widely used laparoscopic mesh repair techniques are Totally Extra peritoneal (TEP) and Trans abdominal Preperitoneal (TAPP) repair, both of which are based on the myopectineal orifice theory. The key difference between TEP and TAPP lies in the method used to access the preperitoneal space.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Drainage Seroma Laparoscopic Trans-abdominal Preperitoneal Inguinal Hernia Repair

Interventions

Trans-abdominal preperitoneal repair + DrainagePROCEDURE

Patients underwent the trans-abdominal preperitoneal (TAPP) repair technique with closed suction drain was placed through the lateral 5 mm port.

Trans-abdominal preperitoneal repairPROCEDURE

Patients underwent the trans-abdominal preperitoneal (TAPP) repair technique but the drain wasn't applied.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients aged from18 to 70 years. * Both sexes. * Patients were diagnosed with all types of inguinal hernia who are candidates for elective trans-abdominal Preperitoneal (TAPP) repair. Exclusion Criteria: * Previous history of pelvic or lower abdominal surgery. * Coagulopathy. * Any condition contraindicating laparoscopic surgery. * Patients with complicated hernia (irreducible/incarcerated or obstructed/strangulated hernia). * Active infections. * Uncorrected medical comorbidities. * Bilateral inguinal hernia either preoperative or intraoperative diagnosis.

Locations (1)

Cairo University

Cairo, Egypt

Outcomes

Primary Outcomes

Incidence of patients suffering from Seroma

Incidence of patients suffering from Seroma in each group after Transabdominal preperitoneal inguinal hernia repair.

Time frame: 6 months post-procedure

Secondary Outcomes

Degree of pain

Pain was assessed using Visual Analogue Scale (VAS) in which the pain score is defined from 0 (no pain) to 10 (maximum pain) at rest and during activity recorded at similar intervals.

Time frame: 24 hours post-procedure

Degree of patient satisfaction

Degree of patient satisfaction was assessed using 3-likert point scale where (1, Neutral; 2, Satisfied; 3, Very satisfied)

Time frame: 24 hours post-procedure

Measurement of operative time

Measurement of operative time was done from skin incision to closure.

Time frame: Till closure of the skin (Up to 60 minutes).

Incidence of recurrence

Incidence of recurrence of hernia was assessed during follow-up visits.

Time frame: 6 months post-procedure

Data from ClinicalTrials.gov

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