Laparoscopic TAPP (Trans Abdominal Pre-Peritoneal) hernia repair: Round Ligament Preservation: Group 1 (Round Ligament Preservation): Patients will undergo laparoscopic TAPP surgery with the round ligament preserved. The preservation will be achieved using a longitudinal incision technique in the peritoneum.
Laparoscopic TAPP (Trans Abdominal Pre-Peritoneal) hernia repair: Round Ligament Cutting: Group 2 (Round Ligament Cutting): Patients will undergo laparoscopic TAPP surgery with the round ligament cut close to the peritoneum using an energy device.
Study summary
The aim of this study is to evaluate the impact of preserving or not preserving the round ligament during laparoscopic Trans Abdominal Pre-Peritoneal (TAPP) hernia repair on postoperative outcomes in female patients. Specifically, the study will compare outcomes such as postoperative pain, seroma, hematoma, prolapsus of uterina , recurrence rates, and quality of life between patients whose round ligament was preserved versus those whose ligament was cut.
Eligibility
Sex
FEMALE
Min age
18 Years
Max age
70 Years
Healthy volunteers
No
Inclusion Criteria:
* For patients applying to the General Surgery Clinic of Basaksehir Cam Sakura City Hospital:
* Age Range: Female patients aged between 18 and 70 years.
* Type of Hernia: Patients with inguinal, direct or indirect, femoral, and obturator hernias.
* Surgical Indication: Patients indicated for TAPP (Transabdominal Preperitoneal) surgery.
* Consent: Patients who consent to participate in the study.
* General Anesthesia: Patients who are suitable for general anesthesia.
* Follow-up: Patients who attend follow-up appointments regularly.
Exclusion Criteria:
* Age: Female patients under 18 years old or over 70 years old.
* Surgical Technique: Patients who are operated on with techniques other than TAPP (e.g., TEP, conventional surgery).
* Hernia Type: Patients with strangulated or incarcerated hernias.
* Hernia Location: Patients with hernias outside the groin region.
* Surgical Site: Surgeries performed in different clinics.
* Gender: Male patients.
Primary outcome measure(s)
Postoperative Complication — 1 years "Number of Participants with Postoperative Complications : Seroma (in centimeters) , Hematoma (in centimeters) , Loss of Sensation on Neurological Examination , Prolapse (in centimeters) Numbness (reported in anamnesis), Tingling (reported in anamnesis), Urinary Retention (reported in anamnesis), Dyspareunia (reported in anamnesis) . Measured at Day 1, Month 3, and Year 1"
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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