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This study compares the outcome of the four most commonly used operations for the repair of primary groin hernia including the new key hole surgical techniques. It aims at answering the question of whether the new technology really improve the outcome, saves time and reduce patient suffering.
The study compares two traditional techniques of inguinal hernia repair; namely Lechtenstien repair and properitoneal repair versus two techniques of laparoscopic hernia repair, namely extraperitoneal and transperitoneal repair. It compares the operative time, complications, postoperative pain and the speed of patient recovery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| open properitoneal | Active Comparator | patients undergoing open properitoneal hernia repair |
|
| Lechtenstien repair | Active Comparator | Patients undergoing Lechtestien hernia repair |
|
| Laparoscopic transperitoneal repair | Active Comparator | Patients undergoing TAPP repair |
|
| Lap totally extraperitoneal approach | Active Comparator | Patients undergoing TEP approach |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| open properitoneal hernia repair | Procedure | suprapubic retro-inguinal approach |
|
| Measure | Description | Time Frame |
|---|---|---|
| patient ability to resume domestic activity independently | daily reporting by the patient |
| Measure | Description | Time Frame |
|---|---|---|
| time of the patient to return to work | reported by the patient |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Yasser Hamza, A professor | University of Alexandria | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Main University hospital | Alexandria | Alexandria Governorate | 261112 | Egypt |
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| ID | Term |
|---|---|
| D006552 | Hernia, Inguinal |
| ID | Term |
|---|---|
| D046449 | Hernia, Abdominal |
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C034807 | tetra-4-amidinophenoxypropane |
| C072829 | tetraethylpyrazine |
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| Lechtestien hernia repair | Procedure | onlay mesh repair |
|
|
| Laparoscopic transperitoneal approach | Procedure | intraperitoneal insufflation followed by re-exiting to the hernia site |
|
|
| Laparoscopic totally extraperitoneal approach | Procedure | avoiding the peritoneum altogether |
|
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