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The aim of the study is to evaluate the effect of drainage on the incidence of seroma after laparoscopic transabdominal preperitoneal inguinal hernia repair.
Inguinal hernia repair is one of the most common surgical conditions encountered in primary care settings. Globally, around 20 million groin hernia repairs are performed each year. Surgical procedure is the gold standard treatment for inguinal hernia repair.
Laparoscopic hernioplasty is suitable for patients with inguinal hernia who can undergo general anesthesia, especially in cases like hernia recurrence after open repair, bilateral hernias, and simultaneous procedures like cholecystectomy.
Although open mesh repair has already demonstrated a low recurrence rate, laparoscopic mesh repair has become increasingly popular in recent years due to its benefits, including a better view of the groin anatomy, ease in addressing bilateral hernias, and superior cosmetic outcomes. The two most widely used laparoscopic mesh repair techniques are Totally Extra peritoneal (TEP) and Trans abdominal Preperitoneal (TAPP) repair, both of which are based on the myopectineal orifice theory. The key difference between TEP and TAPP lies in the method used to access the preperitoneal space.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | Patients underwent the trans-abdominal preperitoneal (TAPP) repair technique with closed suction drain was placed through the lateral 5 mm port. |
|
| Group B | Experimental | Patients underwent the trans-abdominal preperitoneal (TAPP) repair technique but the drain wasn't applied. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Trans-abdominal preperitoneal repair + Drainage | Procedure | Patients underwent the trans-abdominal preperitoneal (TAPP) repair technique with closed suction drain was placed through the lateral 5 mm port. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of patients suffering from Seroma | Incidence of patients suffering from Seroma in each group after Transabdominal preperitoneal inguinal hernia repair. | 6 months post-procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Degree of pain | Pain was assessed using Visual Analogue Scale (VAS) in which the pain score is defined from 0 (no pain) to 10 (maximum pain) at rest and during activity recorded at similar intervals. | 24 hours post-procedure |
| Degree of patient satisfaction |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo University | Cairo | 12613 | Egypt |
The data will be available upon a reasonable request from the corresponding author after the end of study for one year.
After the end of study for one year.
The data will be available upon a reasonable request from the corresponding author.
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| Trans-abdominal preperitoneal repair | Procedure | Patients underwent the trans-abdominal preperitoneal (TAPP) repair technique but the drain wasn't applied. |
|
Degree of patient satisfaction was assessed using 3-likert point scale where (1, Neutral; 2, Satisfied; 3, Very satisfied) |
| 24 hours post-procedure |
| Measurement of operative time | Measurement of operative time was done from skin incision to closure. | Till closure of the skin (Up to 60 minutes). |
| Incidence of recurrence | Incidence of recurrence of hernia was assessed during follow-up visits. | 6 months post-procedure |
| ID | Term |
|---|---|
| D049291 | Seroma |
| ID | Term |
|---|---|
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D004322 | Drainage |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D013514 | Surgical Procedures, Operative |
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