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This is a randomized control trial intending to study the clinical difference between different mesh fixation techniques in laparoscopic TAPP hernioplasty of inguinal hernia for adults with unilateral and bilateral inguinal hernia , two techniques are tissue glue and surgical tackers , the target population will be divided according to an electronic generated randomization into two groups , they will be compared according to multiple variables which includes but not limited to : procedure time, early post op complication , post-operative pain , late complications , short term and long term recurrence rates .
Laparoscopic transabdominal preperitoneal ( TAPP ) hernioplasty has emerged as an essential procedure for adults complaining of both unilateral and bilateral inguinal hernia , various descriptions of the procedure have been published recently, complications and recurrence rates are being calculated for each method, different mesh fixation techniques are being used by different surgeons, some use surgical tackers, some use fibrin glue and some demonstrated an equal outcome if the mesh was not fixed at all.
This is a randomized control trial intending to study the clinical difference between those different mesh fixation techniques in laparoscopic TAPP hernioplasty of inguinal hernia for adults with unilateral and bilateral inguinal hernia , two techniques are tissue glue and surgical tackers , the target population will be divided according to an electronic generated randomization into two groups , they will be compared according to multiple variables which includes but not limited to : procedure time, early post op complication , post-operative pain , late complications , short term and long term recurrence rates .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| tissue glue | Experimental | mesh fixed using tissue glue |
|
| metallic tackers | Experimental | mesh fixed using metallic tackers |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| tissue Glue for mesh fixation | Procedure | one arm of the study had their mesh fixed with tissue glue applied at multiple sites |
|
| Measure | Description | Time Frame |
|---|---|---|
| postoperative pain | postoperative pain was measured using The visual analog scale ( VAS ) scored from 1-10 | 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| postoperative complications | postoperative complications including : seroma, ssi , hematoma and others | 6 weeks |
| operative time | operative time |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Jordan , faculty of medicine | Amman | 11731 | Jordan |
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| ID | Term |
|---|---|
| D006547 | Hernia |
| ID | Term |
|---|---|
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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randomized control trial
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| Metallic Tackers for mesh fixation | Procedure | in the other arm mesh was fixed with tackers applied avoiding the triangle of pain and the triangle of doom using a three point fixation technique; Cooper's ligament, medial cranial edge of the mesh and just lateral to the inferior epigastric vessels. |
|
| intraoperative |
| hospital stay | postoperative days in hospital measured | 6 WEEKS |