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

NCT07067281 — Not applicable, Active not recruiting, 60 participants, GSVM Medical College

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A Comparative Study Between TAPP And Lichtenstein Techniques for Inguinal Hernia Surgery, A Prospective Study

Registry	NCT07067281
Status	Active not recruiting
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: single, treatment
Enrollment	60 (Actual)
Sponsor	GSVM Medical College (Other)
Conditions	Hernia Inguinal
Interventions	Lichtenstein Tension-Free Mesh Hernioplasty, Laparoscopic Transabdominal Preperitoneal (TAPP) Repair (Procedure)
Dates	start 2024-04-01, primary completion 2025-07-15 (estimated), completion 2025-08-15 (estimated), first posted 2025-07-16, last updated 2025-07-16
Locations	1 site in India

-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.

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+Detailed description

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 .

+Arms and interventions

Arm	Type	Interventions	Description
Lichtenstein Techniques for Inguinal Hernia surgery using as conventional method	Active comparator	Procedure: Lichtenstein Tension-Free Mesh Hernioplasty	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.
TAPP Repair	Experimental	Procedure: Laparoscopic Transabdominal Preperitoneal (TAPP) Repair	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.

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.
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.

+Outcome measures

Primary outcomes

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

Secondary outcomes

Postoperative ileus [Up to 5 days]: Delayed return of bowel function by flatus or bowel movement, abdominal distention or need for nasogastic tube decompression
Surgical site infection [Up to 30 days post operation]: Superficial and deep wound infection including erythema , discharge or wound dehiscence
Hospital stay [From date of surgery untill discharge , assessed upto 14days]: Total number of days the date of operation to discharge from hospital

+Eligibility

Sex: All, ages: 5 Years to 80 Years

Inclusion Criteria: 1. 5 -80 years 2. Any gender 3. Direct Hernia 4. Indirect hernia

\-

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

+Locations (1)

Facility	City	Country	Status
Ganesh Shankar vidhyapthi Memorial Medical college kanpur	Kanpur, Uttar Pradesh	India

+Investigators

Shubham Chaubey, Principle investigator, MBBS, Principal investigator, GSVM MEDICAL COLLEGE KANPUR

My Notes

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