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Outcomes of Laparoscopic Keyhole Surgery (TAPP) for Recurrent Inguinal Hernia

ConditionRecurrant Inguinal Hernia
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeNot listed
SponsorSohag University

About this trial

The goal of this clinical trial is to learn if a laparoscopic surgery called Transabdominal Preperitoneal (TAPP) repair is safe and works well for adults with a recurrent inguinal hernia (a groin hernia that has returned after a previous operation).

The main questions it aims to answer are:

Does the TAPP technique lower the number of complications after surgery? How well do participants recover during the early postoperative period and long-term follow-up? Fixing a hernia that has returned is hard because of old scar tissue. In this study, researchers will use the TAPP technique to work through a different layer of tissue to provide a stronger repair.

Participants will:

Undergo the TAPP laparoscopic surgery for their recurrent hernia. Visit the clinic for close health monitoring shortly after surgery. Complete regular follow-up checkups to track their long-term recovery.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult patients. Patients diagnosed with recurrent inguinal hernia. Patients fit for general anesthesia. Patients who provide informed consent.

Disqualifiers

Non recurrent inguinal hernia Patients with complicated inguinal hernia. Patients unfit for general anesthesia. Patients refusing participation in the study.

Trial design

Design model

Single group

Treatments tested in this trial

  • Laparoscopic Transabdominal Preperitoneal (TAPP) Repair

    Procedure/Surgery

    The surgical procedure will be performed under general anesthesia. Standard laparoscopic instruments will be used to access the peritoneal cavity. The peritoneum over the recurrent inguinal hernia site will be incised to enter the preperitoneal space. After reduction of the hernia sac and clearing of post-operative adhesions, a synthetic mesh will be placed to cover the hernia defects. The mesh will be secured if necessary, and the peritoneal flap will be closed using sutures or tacks.

Treatment groups

10 Participants
are divided into 1 treatment group
Group A: Laparoscopic TAPP RepairExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Feasibility and Technical Success of Laparoscopic TAPP

Evaluation of the feasibility of the TAPP approach in recurrent inguinal hernias, measured by the rate of successful laparoscopic completion without the need for intraoperative conversion to open surgery due to severe scar tissue or adhesions.

Time frame
During the intraoperative procedure (Day of surgery)

Secondary outcomes

1

Post-operative Pain

Assessment of pain severity using the Visual Analog Scale (VAS), which ranges from 0 (no pain) to 10 (worst possible pain).

Time frame
At 24 hours, 1 week, and 1 month post-operatively
2

Hernia Recurrence

The percentage of patients who experience another clinical return of the inguinal hernia after the TAPP repair. Recurrence will be detected through physical examination during follow-up, and confirmed by groin ultrasound or CT scan if a hernia is clinically suspected.

Time frame
4 months
3

Operative Time

The total duration of the surgical procedure calculated in minutes from the skin incision to the final closure

Time frame
During the surgical procedure (Day of surgery)
4

Length of Hospital Stay

The total number of hours or days from the end of the surgery until the patient is officially discharged from the hospital.

Time frame
From the day of surgery up to hospital discharge (typically 1-2 days)

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Sohag University

Lead sponsor

Source ClinicalTrials.gov
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