A Comparative Study Between TAPP and Lichtenstein Techniques for Inguinal Hernia Surgery

Condition(s) studied

Investigational drug(s) / intervention(s)

Lichtenstein Tension-Free Mesh Hernioplasty: 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.

Laparoscopic Transabdominal Preperitoneal (TAPP) Repair: 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.

Study summary

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.

Eligibility

Primary outcome measure(s)

• Operative time — Intraoperative (measure during surgical procedure on day1)
  Total duration of surgery in minutes, measure skin incision to reversal of pneumoperitoneum

Trial sites (1)

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