TAPP and Open Repair for Recurrent Inguinal Hernia
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Transabdominal preperitoneal approach.
- Who it may be relevant to
- Registry conditions: Recurrent Inguinal Hernia. Basic parameters: 18 years — 80 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- China
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Clinical Study of Transabdominal Preperitoneal Approach Versus Open Tension-free Hernia Repair for the Treatment of Recurrent Inguinal Hernia
Overview
The objective of this study was to explore the clinical efficacy of transabdominal preperitoneal approach (TAPP) and open tension-free hernia repair in the treatment of recurrent inguinal hernia. This study aims to provide a basis for selecting the optimal treatment methods for recurrent hernias.
Detailed description
The patients were randomly allocated to the TAPP group and the open tension-free repair group. We recorded the general situation, operation time, and intraoperative complications; postoperative visual analogue pain scale (VAS) scores at 24 and 48 h; and the incidence of complications such as seroma, chronic pain, inguinal numbness, foreign body sensation, and recurrence at 1 week, 1 month, 3 months, 6 months and 1 year after surgery. These indicators were compared between the two groups of patients.
Interventions
- Procedure Transabdominal preperitoneal approach
The enrolled patients underwent either open tension-free hernia repair or Transabdominal preperitoneal approach
Primary outcome measures
- Postoperation pain [Time frame: 24 hours, 48 hours, three months after surgery]
Secondary outcome measures (8)
- Numbness and foreign body sensation [Time frame: The mean follow-up time was 10 months after surgery]
- Operating time [Time frame: During surgery]
- Hemorrhage [Time frame: During surgery]
- Urinary retention [Time frame: One week after surgery]
- Seroma [Time frame: The mean follow-up time was 2 weeks after surgery]
- Recurrence [Time frame: The mean follow-up time was 1 year after surgery]
- Fever [Time frame: One week after surgery]
- Length of hospital stay [Time frame: Within a week of surgery]
Eligibility criteria
Inclusion criteria
- age ≥ 18 years
- the diagnosis of recurrent inguinal hernia made by ultrasound or computed tomography (CT) during the present visit
- ability to tolerate general anesthesia and local anesthesia surgery
- all patients and their families agreed to participate in this study and sign relevant informed consent.
Exclusion criteria
- patch infection during the first surgery
- multiple (≥ 2) relapses
- inability to cooperate to complete follow-up after surgery
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Triple blind
- Primary purpose
- Treatment
Study locations
China · 1 center
- Clinical study of recurrent inguinal hernia — Kunming
Identifiers
NCT: NCT06604572 · PJ-2022-85