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NCT Number: NCT07067281

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

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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Key information

Conditions

Hernia Inguinal Disease Attributes Hernia Hernia, Abdominal Hernia, Inguinal Infections Inflammation Pathologic Processes Pathological Conditions, Anatomical Pathological Conditions, Signs and Symptoms Postoperative Complications Recurrence Seroma Surgical Wound Infection Wound Infection

Age range

5 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Ganesh Shankar vidhyapthi Memorial Medical college kanpur

Kanpur, Uttar Pradesh, 208002, India

About this study

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 .

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

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.

Primary outcomes

  1. Operative time

    Time frame: Intraoperative (measure during surgical procedure on day1)

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

Secondary outcomes

  1. Postoperative ileus

    Time frame: Up to 5 days

    Delayed return of bowel function by flatus or bowel movement, abdominal distention or need for nasogastic tube decompression

  2. Surgical site infection

    Time frame: Up to 30 days post operation

    Superficial and deep wound infection including erythema , discharge or wound dehiscence

  3. Hospital stay

    Time frame: From date of surgery untill discharge , assessed upto 14days

    Total number of days the date of operation to discharge from hospital

Sponsors and collaborators

Lead sponsor

GSVM Medical College

Other

Registry information

Official study title

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

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Jul 16, 2025
Registry last updated
Jul 16, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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