Comparison of Tracheal Intubation vs Laryngeal Mask Airway in Laparoscopic Total Extraperitoneal Hernia Repair

Study Overview
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Brief Summary
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Patient comfort and satisfaction of inguinal hernia repairs can be affected by the anesthesia technique chosen in addition to the surgical method. In our study, we aimed to compare the anesthesia method used in patients during laparoscopic total extraperitoneal hernia repair, which is a minimally invasive method.It was planned to evaluate the patients' quality of life, pain conditions, additional medical support needs for pain, length of hospital stay, duration of surgery, complications during and after surgery and recurrence rates.In addition, it was planned to compare the effects of the anesthesia method used on the lung capacity of the patients. The most important achievement of the study will be to show that laparoscopic hernia repair, which is frequently performed by intubation, can be performed safely with the Laryngeal mask.

Detailed Description
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The study was designed as a prospective randomized study, and a total of 100 patients were planned to be evaluated. Laparoscopic total extraperitoneal hernia repair will be performed by anesthesia with laryngeal mask and treceal intubation. Patients with a lariyngeal mask will be named as group 1, and patients who undergo tracheal intubation will be named as group 2. Patients diagnosed with inguinal hernia radiologically and diagnosed with ultrasound will be operated. Patients between the ages of 18 and 75 years will be included in the study. Patients with relapse will be excluded. All patients will be evaluated for preoperative anesthesia and their suitability for laryngeal mask or tracheal intubation will be examined. Patients considered unsuitable for anyone will not be included in the study. All patients will be explained in two methods before surgery and their patients will be randomized. Randomization will be done on the website www.randomizer.org. All patients will be entered on the website by numbering and the method chosen by the website will be applied according to the order of arrival. Patients will be placed in the supine position under operating room conditions and anesthesia will be appropriate. After anesthesia, the surgical procedure will begin. The first incision time will be accepted as the surgery start time, and the end time of skin suturization will be recorded as the end of the surgery. VAS scores of the patients at the 1st, 2nd, 4th, 6th and 12th hours after surgery will be learned and recorded by the service nurses. Additional medical needs of patients due to pain will be recorded. Demographic data and additional diseases of the patients will be recorded. Operation times, hospitalization times, wound infections, seroma, scrotal edema and pain scores will be recorded. Complications developed during the operation will be recorded. After surgery, patients' nausea, vomiting, headache, shoulder pain and pain scores will be compared. Patients will be called to the general surgery outpatient clinic in the first week, first month, third month, and sixth month after the operation.

Official Title
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Comparison of Tracheal Intubation and Laryngeal Mask Airway in Laparoscopic Total Extraperitoneal (TEP) Repair in Patients With Unilateral Inguinal Hernia

Conditions
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Pain Score, Lung Functions

Intervention / Treatment
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* Procedure: Tracheal intubation in laparoscopic extraperitoneal hernia repair


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Clinical diagnosis of unilateral inguinal hernia Exclusion Criteria: Clinical diagnosis of incarcerated inguinal hernia Clinical diagnosis of inguinal hernia with pregnancy

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Tracheal intubation
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Sham Comparator: Tracheal intubation in laparoscopic extraperitoneal hernia repair<br>Tracheal intubation in laparoscopic extraperitoneal hernia repair | Procedure: Tracheal intubation in laparoscopic extraperitoneal hernia repair<br>* laryngeal mask airway in laparoscopic extraperitoneal hernia repair<br>|
| Active Comparator: laryngeal mask airway in laparoscopic extraperitoneal hernia repair<br>laryngeal mask airway in laparoscopic extraperitoneal hernia repair | Procedure: Tracheal intubation in laparoscopic extraperitoneal hernia repair<br>* laryngeal mask airway in laparoscopic extraperitoneal hernia repair<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| VAS score | Evaluation of postoperative 1th hour pain score with VAS scale | postoperative 1th hour vas score | 
| Anatomical delineation: satisfactory (n)(%) | Surgeon's evaluation at the end of the operation | up to 2 hour | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sore throat | sore throat that develops after surgery | up to 2 hour | 
| Hoarsaness and dysphonia | Hoarsaness and dysphonia develops after surgery | up to 2 hour | 
| seroma | postoperative seroma | up to 30 day | 
| scrotal edema | postoperatif scrotal edema | up to 30 day | 
| ventilation time | ventilation time during surgery | up to 2 hour |