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| ID | Type | Description | Link |
|---|---|---|---|
| D/11/092 | Other Identifier | NUHS SIngapore |
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This study is carried out to determine if laparoscopic inguinal TEP repair of the hernia using a mesh carried out with only 1 port (hole) results in the reduction of post- operative pain and use of painkillers, shorter hospital stay and lesser complications than that carried out using conventional 3 ports.
100 patients undergoing laparoscopic TEP ( Total extraperitoneal repair) inguinal hernia repair under general anaesthesia will be randomized into 2 groups by the closed envelope method. In case of difficulty in Single port TEP inguinal hernia repair, the procedure will be converted to conventional 3 port repair for patient safety.
2 groups of participants: Group A will undergo laparoscopic TEP inguinal hernia repair with 3 ports (10 mm , and 2 ports of 5 mm ).
Group B will undergo laparoscopic TEP inguinal hernia repair with a single port (12 to 15 mm transumbilical).
Patient will be informed at consenting that 3 wound plasters will be applied to their abdomen regardless of whether they are in the single port or 3- ports group so that they would not know which group they have been randomized to. The blind will only be lifted after pain score and area of pain has been recorded before discharge.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| group A: Standard TEP | Active Comparator | Group A will undergo laparoscopic TEP inguinal hernia repair with 3 ports (10 mm , and 2 ports of 5 mm ). |
|
| Group B: LESS Port | Active Comparator | Group B will undergo laparoscopic TEP inguinal hernia repair with a single port (12 to 15 mm transumbilical). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group A will undergo laparoscopic TEP inguinal hernia repair with 3 ports (10 mm , and 2 ports of 5 mm ) | Procedure | laparoscopic TEP inguinal hernia repair with 3 ports (10 mm , and 2 ports of 5 mm ). |
| Measure | Description | Time Frame |
|---|---|---|
| Pain score (Visual Analog Scale) at 24hours after surgery | Assessment of post-operative pain according to the visual analog scale Pain score will be taken, and painkiller consumption will be recorded | 24 hours |
| Pain score (Visual Analog Scale) at 1 week after surgery | Assessment of pain according to the visual analog scale | 1 week |
| Measure | Description | Time Frame |
|---|---|---|
| Recurrence of inguinal hernia | Finding of hernia again during examination after surgery | 1-3-6 months |
| Post-operative complications | Examining for any seroma, hematoma and skin ecchymosis |
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Inclusion Criteria:
Age: 21- 80 yrs
Exclusion Criteria:
Bleeding disorders
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National University Hospital | Singapore | 119074 | Singapore |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 10488834 | Background | Piskun G, Rajpal S. Transumbilical laparoscopic cholecystectomy utilizes no incisions outside the umbilicus. J Laparoendosc Adv Surg Tech A. 1999 Aug;9(4):361-4. doi: 10.1089/lap.1999.9.361. | |
| 22002266 | Background | Goel R, Buhari SA, Foo J, Chung LK, Wen VL, Agarwal A, Lomanto D. Single-incision laparoscopic appendectomy: prospective case series at a single centre in Singapore. Surg Laparosc Endosc Percutan Tech. 2011 Oct;21(5):318-21. doi: 10.1097/SLE.0b013e3182311bd9. |
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| Group B will undergo laparoscopic TEP inguinal hernia repair with a single port | Procedure | Group B will undergo laparoscopic TEP inguinal hernia repair with a single port LESS (12 to 15 mm transumbilical). |
|
| 1-3-6 months |
| Pain score (Visual Analog Scale) at 1-3-6 months after surgery | Assessment of pain according to the visual analog scale | 1-3-6 months |
| 21958305 | Background | Goo TT, Agarwal A, Goel R, Tan CT, Lomanto D, Cheah WK. Single-port access adrenalectomy: our initial experience. J Laparoendosc Adv Surg Tech A. 2011 Nov;21(9):815-9. doi: 10.1089/lap.2011.0179. Epub 2011 Sep 29. |
| 19172350 | Result | Filipovic-Cugura J, Kirac I, Kulis T, Jankovic J, Bekavac-Beslin M. Single-incision laparoscopic surgery (SILS) for totally extraperitoneal (TEP) inguinal hernia repair: first case. Surg Endosc. 2009 Apr;23(4):920-1. doi: 10.1007/s00464-008-0318-x. Epub 2009 Jan 27. No abstract available. |
| 32123978 | Derived | Chia DKA, Lomanto D, Wijerathne S. Patient-Reported Outcomes and Long-Term Results of a Randomized Controlled Trial Comparing Single-Port Versus Conventional Laparoscopic Inguinal Hernia Repair. World J Surg. 2020 Jul;44(7):2191-2198. doi: 10.1007/s00268-020-05443-z. |
| 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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