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

NCT07067281 | Active Not Recruiting

• 1 other identifier: EC/BMHR/2024/34
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Hernia Inguinal

Keywords

Trans abdominal preperitoneal repair; Operative time; Surgical site infection; Recurrence; Seroma; Mesh infection

Outcome Measures

Primary Outcomes (1)

• Operative time

  Total duration of surgery in minutes, measure skin incision to reversal of pneumoperitoneum

  Intraoperative (measure during surgical procedure on day1)

Secondary Outcomes (3)

• Postoperative ileus

  Up to 5 days

• Surgical site infection

  Up to 30 days post operation

• Hospital stay

  From date of surgery untill discharge , assessed upto 14days

Study Arms (2)

Lichtenstein Techniques for Inguinal Hernia surgery using as conventional method

ACTIVE COMPARATOR

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.

Procedure: Lichtenstein Tension-Free Mesh Hernioplasty

TAPP Repair

EXPERIMENTAL

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.

Procedure: Laparoscopic Transabdominal Preperitoneal (TAPP) Repair

Interventions

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.

Lichtenstein Techniques for Inguinal Hernia surgery using as conventional method

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.

TAPP Repair

Eligibility Criteria

• Age: 5 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

Sponsors & Collaborators

• GSVM Medical College: lead

Study Sites (1)

Ganesh Shankar vidhyapthi Memorial Medical college kanpur

Kanpur, Uttar Pradesh, 208002, India

Location

MeSH Terms

Conditions

Hernia, Inguinal; Surgical Wound Infection; Recurrence; Seroma

Interventions

tetra-4-amidinophenoxypropane; Wound Healing

Condition Hierarchy (Ancestors)

Hernia, Abdominal; Hernia; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms; Wound Infection; Infections; Postoperative Complications; Pathologic Processes; Disease Attributes; Inflammation

Intervention Hierarchy (Ancestors)

Regeneration; Biological Phenomena

Study Officials

• Shubham Chaubey, Principle investigator, MBBS

  GSVM MEDICAL COLLEGE KANPUR

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Junior Resident, Department of General Surgery

Model Details: Randomized parallel Group,Active trial with computer generated randomization

Study Record Dates

• First Submitted: July 5, 2025
• First Posted: July 16, 2025
• Study Start: April 1, 2024
• Primary Completion: July 15, 2025
• Study Completion: August 15, 2025
• Last Updated: July 16, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will share
• Shared Documents: CSR
• Time Frame: 6 months after publication of results for 2 years
• Access Criteria: Qualifed researchers upon reasonable request

Locations

IN (1)