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The objective of this study was to explore the clinical efficacy of transabdominal preperitoneal approach (TAPP) and open tension-free hernia repair in the treatment of recurrent inguinal hernia. This study aims to provide a basis for selecting the optimal treatment methods for recurrent hernias.
The patients were randomly allocated to the TAPP group and the open tension-free repair group. We recorded the general situation, operation time, and intraoperative complications; postoperative visual analogue pain scale (VAS) scores at 24 and 48 h; and the incidence of complications such as seroma, chronic pain, inguinal numbness, foreign body sensation, and recurrence at 1 week, 1 month, 3 months, 6 months and 1 year after surgery. These indicators were compared between the two groups of patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Transabdominal preperitoneal approach surgery group | Experimental | The enrolled patients were treated with Transabdominal preperitoneal approach |
|
| Open tension-free hernia repair group | Other | The enrolled patients were treated with open tension-free hernia repair |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Transabdominal preperitoneal approach | Procedure | The enrolled patients underwent either open tension-free hernia repair or Transabdominal preperitoneal approach |
|
| Measure | Description | Time Frame |
|---|---|---|
| Postoperation pain | Postoperative pain was monitored using the VAS pain scoring system (0-10 points) and recorded at 24 and 48 h. Patients with groin pain for more than 3 months were recorded during follow-up. | 24 hours, 48 hours, three months after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Numbness and foreign body sensation | The occurrence of groin numbness and foreign body sensation after operation was recorded | The mean follow-up time was 10 months after surgery |
| Operating time |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Weiming Li | Contact | 13114225597 | liweiming49@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Weiming Li, doctor | The Second Affiliated Hospital of Kunming Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical study of recurrent inguinal hernia | Recruiting | Kunming | Yunnan | 650000 | China |
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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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|
Record the patient's operating time
| During surgery |
| Hemorrhage | The amount of surgical bleeding was recorded | During surgery |
| Urinary retention | Urinary retention was observed and recorded after operation | One week after surgery |
| Seroma | The occurrence of postoperative seroma was observed and recorded | The mean follow-up time was 2 weeks after surgery |
| Recurrence | The recurrence of patients after operation was observed and recorded | The mean follow-up time was 1 year after surgery |
| Fever | The postoperative fever was observed and recorded | One week after surgery |
| Length of hospital stay | The patient's length of stay was recorded | Within a week of surgery |