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The goal of this clinical trial is to learn if a laparoscopic surgery called Transabdominal Preperitoneal (TAPP) repair is safe and works well for adults with a recurrent inguinal hernia (a groin hernia that has returned after a previous operation).
The main questions it aims to answer are:
Does the TAPP technique lower the number of complications after surgery? How well do participants recover during the early postoperative period and long-term follow-up? Fixing a hernia that has returned is hard because of old scar tissue. In this study, researchers will use the TAPP technique to work through a different layer of tissue to provide a stronger repair.
Participants will:
Undergo the TAPP laparoscopic surgery for their recurrent hernia. Visit the clinic for close health monitoring shortly after surgery. Complete regular follow-up checkups to track their long-term recovery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Laparoscopic TAPP Repair | Experimental | Patients with recurrent inguinal hernia who will undergo laparoscopic transabdominal preperitoneal (TAPP) repair using a synthetic mesh. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Laparoscopic Transabdominal Preperitoneal (TAPP) Repair | Procedure | The surgical procedure will be performed under general anesthesia. Standard laparoscopic instruments will be used to access the peritoneal cavity. The peritoneum over the recurrent inguinal hernia site will be incised to enter the preperitoneal space. After reduction of the hernia sac and clearing of post-operative adhesions, a synthetic mesh will be placed to cover the hernia defects. The mesh will be secured if necessary, and the peritoneal flap will be closed using sutures or tacks. |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility and Technical Success of Laparoscopic TAPP | Evaluation of the feasibility of the TAPP approach in recurrent inguinal hernias, measured by the rate of successful laparoscopic completion without the need for intraoperative conversion to open surgery due to severe scar tissue or adhesions. | During the intraoperative procedure (Day of surgery) |
| Measure | Description | Time Frame |
|---|---|---|
| Post-operative Pain | Assessment of pain severity using the Visual Analog Scale (VAS), which ranges from 0 (no pain) to 10 (worst possible pain). | At 24 hours, 1 week, and 1 month post-operatively |
| Hernia Recurrence |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| marwa Saber, Resident | Contact | 01017659722 | marwaelkholy93@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of medicine | Recruiting | Sohag | Egypt |
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| ID | Term |
|---|---|
| C034807 | tetra-4-amidinophenoxypropane |
| D014945 | Wound Healing |
| ID | Term |
|---|---|
| D012038 | Regeneration |
| D001686 | Biological Phenomena |
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|
The percentage of patients who experience another clinical return of the inguinal hernia after the TAPP repair. Recurrence will be detected through physical examination during follow-up, and confirmed by groin ultrasound or CT scan if a hernia is clinically suspected.
| 4 months |
| Operative Time | The total duration of the surgical procedure calculated in minutes from the skin incision to the final closure | During the surgical procedure (Day of surgery) |
| Length of Hospital Stay | The total number of hours or days from the end of the surgery until the patient is officially discharged from the hospital. | From the day of surgery up to hospital discharge (typically 1-2 days) |
| Incidence of Post-operative Complications | Detection of any early complications like seroma, hematoma, or wound infection. | Up to 4 months post-operatively |
| Incidence of Intraoperative Complications | The percentage of patients experiencing any surgical complications during the operation, such as urinary bladder injury, bowel injury, or major vascular bleeding | During the surgical procedure (Day of surgery) |
| Time to Return to Normal Daily Activities | The total number of days taken by the patient to independently resume their baseline activities of daily living and return to light work/routine post-surgery. | Up to 4 months post-operatively |