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| Name | Class |
|---|---|
| Guang'an People's Hospital | UNKNOWN |
| Pengan County People's Hospital | OTHER |
| People's Hospital of Yilong County | UNKNOWN |
| Nanbu Hospital of County Chinese Medicine |
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This study was designed to compare the outcome of 3 point with 1 point lightweight mesh fixation in TAPP surgery for patients with inguinal hernia. The main outcome include seroma, chronic pain, recurrence, et al.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 3-point fixation group | Experimental | Using 3-0 absorbable sutures, the mesh was secured at three key anatomical landmarks: (1) the posterior rectus sheath medially, (2) the pubic pectineal ligament (Cooper's ligament) inferiorly, and (3) the lateral edge of the iliopubic tract. |
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| 1-point fixation group | Active Comparator | Using 3-0 absorbable sutures, the mesh was secured at one of the following key anatomical landmarks: (1) the posterior rectus sheath medially, (2) the pubic pectineal ligament (Cooper's ligament) inferiorly, or (3) the lateral edge of the iliopubic tract. The fixation site was selected based on the most prominent anatomical landmark, with preference given to the pubic pectineal ligament (Cooper's ligament) or the lateral edge of the iliopubic tract. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lightweight mesh fixation in 3 points or 1 point | Procedure | Lightweight mesh fixation in 3 points |
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| Measure | Description | Time Frame |
|---|---|---|
| Rate of postoperative pain | The visual analog scale (VAS) was adopted for pain evaluation 1 day, 7 days, 1 month, 3 months, 6 months and 12 months postoperatively. The scale range from 0 to 10, with 0 meaning no pain and 10 meaning the worst pain. | 12 months |
| Rate of recurrence | Hernia recurrenceFollow up by physical examination, ultrasonography and telephone at 1 month,3 months,6 months and 12 months after surgery about the rate of hernia recurrence. | 1 month,3 months,6 months and 12 months after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of postoperative complications | Including infection, seroma, hematoma | 12 months |
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Inclusion Criteria:
The inclusion criteria were as follows: primary inguinal hernia.
Exclusion Criteria:
Patients not suitable for general anesthesia. Patients requiring open surgery; patients requiring emergency surgery Loss to follow-up or communication difficulties, or poor compliance.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yunhong Tian | Nanchong | Sichuan | 637000 | China |
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| ID | Term |
|---|---|
| D006552 | Hernia, Inguinal |
| D059350 | Chronic Pain |
| D049291 | Seroma |
| D012008 | Recurrence |
| D007239 | Infections |
| D006406 | Hematoma |
| ID | Term |
|---|---|
| D046449 | Hernia, Abdominal |
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| OTHER |
| Langzhong People's Hospital | UNKNOWN |
| Langzhong Traditional Chinese Medicine Hospital | UNKNOWN |
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| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
| D020969 | Disease Attributes |
| D006470 | Hemorrhage |