Laparscopic Hernioplasty in Recurrent Inguinal Hernia

Study Overview
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Brief Summary
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The purpose of this study was to compare between laparoscopic transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) repair of inguinal hernia in recurrent inguinal hernia.

Detailed Description
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The primary objective in this study was to compare postoperative pain between the TAPP group and the TEP group. The secondary objective was to compare operative time, intraoperative complications (bleeding, bowel injury, vascular injury), postoperative complications (hematoma, seroma, wound infection), length of hospital stay and recurrence rate with possible risk factors which include gender, age, BMI ,cord lipomas and location of the hernia.

Official Title
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A Prospective Randomized Pilot Study Comparing Transabdominal Properitoneal (TAPP) Versus Totally Extra Peritoneal (TEP) Laparoscopic Inguinal Hernioplasty in Recurrent Inguinal Hernia

Conditions
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Recurrent Inguinal Hernia

Intervention / Treatment
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* Procedure: Transabdominal preperitoneal (TAPP) using polyprolene mesh
* Procedure: Total extraperitoneal (TEP) hernioplasty using polyprolene mesh


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients diagnosed with unilateral or bilateral recurrent inguinal hernias. Patients between 18 and 70 years old Fit for anesthesia. Agree to participate in the study Both genders were included. Exclusion Criteria: Unfitness for general anesthesia and operation. Age < 18 years or >70 years. Complicated hernias (acute irreducible, obstruction or strangulation). The presence of mental or psychological disorders. Refusal to participate in the study.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: patients diagnosed with recurrent inguinal hernia. The study population were randomly distributed into 2 groups by computer generating program; group (1) included patients who had Transabdominal preperitoneal (TAPP) approach while group (2) included patients who had Total extraperitoneal (TEP) approach.
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Transabdominal preperitoneal (TAPP)<br>patients with recurrent inguinal hernia who had Transabdominal preperitoneal (TAPP) approach | Procedure: Transabdominal preperitoneal (TAPP) using polyprolene mesh<br>* Transabdominal preperitoneal (TAPP) approach for recurrent inguinal hernia using polyprolene mesh<br>|
| Active Comparator: Total extraperitoneal (TEP) approach<br>patients with recurrent inguinal hernia who had Total extraperitoneal (TEP) approach | Procedure: Total extraperitoneal (TEP) hernioplasty using polyprolene mesh<br>* Total extraperitoneal (TEP) approach for recurrent inguinal hernia using polyprolene mesh<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postoperative pain | by use of visual analog scale (VAS) where (0) refereed to no pain and (10) refereed to the severest pain. | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| operative time | operative time by minutes was reported to get mean and standard deviation | 6 months | 
| complications | complications will be described as number and percentages in each group | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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TAPP, TEP, Laparoscopic Inguinal Hernia, Recurrent hernia