The enhanced-view totally extraperitoneal (eTEP) technique provides a wider operative field than the conventional totally extraperitoneal (TEP) technique and may facilitate dissection, instrument manipulation, and mesh placement. This study evaluates the potential advantages of eTEP compared with TEP in laparoscopic inguinal hernia repair.
The aim of this study was to compare the laparoscopic totally extraperitoneal (TEP) and enhanced-view totally extraperitoneal (eTEP) techniques for inguinal hernia repair. The two techniques were compared in terms of perioperative parameters, postoperative complications, early recurrence, length of hospital stay, postoperative pain, and quality of postoperative recovery. Quality of recovery was assessed using the Turkish version of the 15-item Quality of Recovery questionnaire (QoR-15T), and the outcomes were statistically compared between the TEP and eTEP groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
75
Total extraperitoneal repair (TEP)
extended view total extraperitoneal (eTEP)
Fatih Sultan Mehmet Training and Research Hospital
Istanbul, Ataşehir, Turkey (Türkiye)
Patients' Ages
Age in years
Time frame: 1 week
Patients' Gender
Male or Female
Time frame: 1 week
Patients' Weight
Weight in kilograms (kg)
Time frame: 1 week
Patients' Height
Height in meters (m)
Time frame: 1 week
Patients' BMI
BMI in kg/m²
Time frame: 1 week
the number of people with Diabetes Mellitus
determined by numbers of people with Diabetes Mellitus
Time frame: 1 week
the number of people with Hypertension
determined by numbers of people with Hypertension
Time frame: 1 week
the number of smoker people
determined by numbers of smoker people
Time frame: 1 week
Side of operation
Right or Left
Time frame: 1 week
the number of people with Direct hernia
determined by numbers of people with Direct hernia
Time frame: 1 week
the number of people with Indirect hernia
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
determined by numbers of people with Indirect hernia
Time frame: 1 week
the number of people with Direct+ Indirect hernia
determined by numbers of people with Direct+ Indirect hernia
Time frame: 1 week
Defect size
Defect in centimeters (cm)
Time frame: 1 week
Diameter of swelling
Diameter of swelling in centimeters2 (cm2)
Time frame: 1 week
Number of Tacks
determined by the numbers of tacks used on the patients.
Time frame: 1 week
Operation time (min)
Operation time in minutes (min)
Time frame: 1 week
Bleeding
Bleeding in milliliters (ml)
Time frame: 1 week
Analgesic requirement
1 time or 2 times or 3 times
Time frame: 1 week
Duration of hospitalisation
Duration of hospitalisation in days
Time frame: 1 week
Return to work time
Return to work time in days
Time frame: 1 week
Number of Complications
Determined by medical examinations: Whether there is seroma, haematoma or ecchymosis at 1st- and 3rd-month controls (in terms of number)
Time frame: 3 months
Postoperative pain
Postoperative pain was assessed using the Visual Analogue Scale (VAS), ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst possible pain. VAS scores were assessed on postoperative day 1 and at postoperative week 1. (in terms of number)
Time frame: 1 week
postoperative recovery
Postoperative recovery was assessed using the 15-item Quality of Recovery questionnaire (QoR-15), with a total score ranging from 0 to 150. Higher scores indicate better postoperative recovery, whereas lower scores indicate poorer recovery. The QoR-15 score was assessed at 24 hours postoperatively. (in terms of number)
Time frame: 1 day