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This study is comperative study between TAPP And Lichtenstein Techniques for Inguinal Hernia surgery.The Lichtenstein tension-free open hernioplasty involves placing a tailored polypropylene mesh over the inguinal canal defect, secured to ligament and oblique fascia under local/regional anesthesia.Transabdominal Preperitoneal (TAPP) hernia repair uses laparoscopic access via three ports (umbilicus and bilateral midclavicular lines), incises and closes a peritoneal flap, and places a large mesh in the preperitoneal space. Compression between these two procedure in terms of intraoperative ,postoperative complications and Long term follow up for recurrence of Hernia.
Comperative study between TAPP And Lichtenstein Techniques for Inguinal Hernia surgery.
Worldwide, inguinal hernia repair is one of the commonest surgeries. The best treatment option to primary hernia has been investigated, but there still remains lack of evidence about the ideal approach.
Therefore, this study aimed to compare the outcomes of inguinal hernia repair using Trans abdominal Pre peritoneal procedure(TAPP) & Lichtenstein techniques. Primary outcomes are Operative time , Surgical site infection , Seroma , post operative ileus , bowel injury ,mesh infection , recurrence and quality of life .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lichtenstein Techniques for Inguinal Hernia surgery using as conventional method | Active Comparator | Participants randomized to this arm will undergo open Lichtenstein tension-free mesh repair for inguinal hernia under regional (spinal) or local anesthesia. A standard polypropylene mesh will be placed over the inguinal canal posterior wall and fixed to the inguinal ligament and conjoint tendon using non-absorbable sutures. The procedure is performed through a single inguinal incision. Patients will receive perioperative analgesia and standard postoperative care. This technique serves as the control group, reflecting conventional open hernia repair. |
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| TAPP Repair | Experimental | Participants in this arm will undergo laparoscopic Transabdominal Preperitoneal (TAPP) repair of inguinal hernia under general anesthesia. A standard 3-port laparoscopic technique will be used. After accessing the preperitoneal space, a large polypropylene mesh will be placed to cover the myopectineal orifice and fixed using tacks or glue. The peritoneal flap will be closed using absorbable sutures or staplers. Patients will receive standard laparoscopic postoperative care. This arm represents the minimally invasive surgical option. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lichtenstein Tension-Free Mesh Hernioplasty | Procedure | Open surgical repair of inguinal hernia using a tension-free mesh technique. A standard polypropylene mesh is placed over the posterior wall of the inguinal canal and fixed with non-absorbable sutures under spinal or local anesthesia. This is a conventional method widely used in open hernia surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Operative time | Total duration of surgery in minutes, measure skin incision to reversal of pneumoperitoneum | Intraoperative (measure during surgical procedure on day1) |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative ileus | Delayed return of bowel function by flatus or bowel movement, abdominal distention or need for nasogastic tube decompression | Up to 5 days |
| Surgical site infection | Superficial and deep wound infection including erythema , discharge or wound dehiscence |
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Inclusion Criteria: 1. 5 -80 years 2. Any gender 3. Direct Hernia 4. Indirect hernia
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Exclusion Criteria: 1 . Patient who are not fit for general anesthesia 2. Patient with lateral hernia 3 . Patient with complicated inguinal hernia like instructed and strangulated hernia
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| Name | Affiliation | Role |
|---|---|---|
| Shubham Chaubey, Principle investigator, MBBS | GSVM MEDICAL COLLEGE KANPUR | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ganesh Shankar vidhyapthi Memorial Medical college kanpur | Kanpur | Uttar Pradesh | 208002 | India |
De-identified individual participants( IPD ) related to operative time, hospital stay and post operative complications
6 months after publication of results for 2 years
Qualifed researchers upon reasonable request
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| ID | Term |
|---|---|
| D006552 | Hernia, Inguinal |
| D013530 | Surgical Wound Infection |
| D012008 | Recurrence |
| D049291 | Seroma |
| 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 |
| D014945 | Wound Healing |
| ID | Term |
|---|---|
| D012038 | Regeneration |
| D001686 | Biological Phenomena |
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Randomized parallel Group,Active trial with computer generated randomization
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| Laparoscopic Transabdominal Preperitoneal (TAPP) Repair | Procedure | Laparoscopic approach to inguinal hernia repair performed under general anesthesia. Three ports are used to access the abdominal cavity, and a peritoneal flap is created to place a large polypropylene mesh in the preperitoneal space. The mesh is fixed with tacks or glue, and the peritoneal flap is closed. This minimally invasive method is designed to reduce postoperative pain and enhance recovery. |
|
| Up to 30 days post operation |
| Hospital stay | Total number of days the date of operation to discharge from hospital | From date of surgery untill discharge , assessed upto 14days |
| D014946 | Wound Infection |
| D007239 | Infections |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D020969 | Disease Attributes |
| D007249 | Inflammation |