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NCT Number: NCT07608653

Outcomes of Laparoscopic Keyhole Surgery (TAPP) for Recurrent Inguinal Hernia

The goal of this clinical trial is to learn if a laparoscopic surgery called Transabdominal Preperitoneal (TAPP) repair is safe and works well for adults with a recurrent inguinal hernia (a groin hernia that has returned after a previous operation).

The main questions it aims to answer are:

Does the TAPP technique lower the number of complications after surgery? How well do participants recover during the early postoperative period and long-term follow-up? Fixing a hernia that has returned is hard because of old scar tissue. In this study, researchers will use the TAPP technique to work through a different layer of tissue to provide a stronger repair.

Participants will:

Undergo the TAPP laparoscopic surgery for their recurrent hernia. Visit the clinic for close health monitoring shortly after surgery. Complete regular follow-up checkups to track their long-term recovery.

Recruiting

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Key information

Conditions

Recurrant Inguinal Hernia

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Adult patients. Patients diagnosed with recurrent inguinal hernia. Patients fit for general anesthesia. Patients who provide informed consent.

Exclusion criteria

  • Non recurrent inguinal hernia Patients with complicated inguinal hernia. Patients unfit for general anesthesia. Patients refusing participation in the study.

Treatment and study plan

Laparoscopic Transabdominal Preperitoneal (TAPP) Repair

Procedure

The surgical procedure will be performed under general anesthesia. Standard laparoscopic instruments will be used to access the peritoneal cavity. The peritoneum over the recurrent inguinal hernia site will be incised to enter the preperitoneal space. After reduction of the hernia sac and clearing of post-operative adhesions, a synthetic mesh will be placed to cover the hernia defects. The mesh will be secured if necessary, and the peritoneal flap will be closed using sutures or tacks.

Primary outcomes

  1. Feasibility and Technical Success of Laparoscopic TAPP

    Time frame: During the intraoperative procedure (Day of surgery)

    Evaluation of the feasibility of the TAPP approach in recurrent inguinal hernias, measured by the rate of successful laparoscopic completion without the need for intraoperative conversion to open surgery due to severe scar tissue or adhesions.

Secondary outcomes

  1. Post-operative Pain

    Time frame: At 24 hours, 1 week, and 1 month post-operatively

    Assessment of pain severity using the Visual Analog Scale (VAS), which ranges from 0 (no pain) to 10 (worst possible pain).

  2. Hernia Recurrence

    Time frame: 4 months

    The percentage of patients who experience another clinical return of the inguinal hernia after the TAPP repair. Recurrence will be detected through physical examination during follow-up, and confirmed by groin ultrasound or CT scan if a hernia is clinically suspected.

  3. Operative Time

    Time frame: During the surgical procedure (Day of surgery)

    The total duration of the surgical procedure calculated in minutes from the skin incision to the final closure

  4. Length of Hospital Stay

    Time frame: From the day of surgery up to hospital discharge (typically 1-2 days)

    The total number of hours or days from the end of the surgery until the patient is officially discharged from the hospital.

  5. Incidence of Post-operative Complications

    Time frame: Up to 4 months post-operatively

    Detection of any early complications like seroma, hematoma, or wound infection.

  6. Incidence of Intraoperative Complications

    Time frame: During the surgical procedure (Day of surgery)

    The percentage of patients experiencing any surgical complications during the operation, such as urinary bladder injury, bowel injury, or major vascular bleeding

  7. Time to Return to Normal Daily Activities

    Time frame: Up to 4 months post-operatively

    The total number of days taken by the patient to independently resume their baseline activities of daily living and return to light work/routine post-surgery.

Study contacts

Contact information is provided by the study sponsor or research team.

marwa Saber, Resident

CONTACT

[email protected]

01017659722

Sponsors and collaborators

Lead sponsor

Sohag University

Other

Registry information

Official study title

Clinical Outcomes of Laparoscopic Transabdominal Preperitoneal (TAPP) Approach for Recurrent Inguinal Hernia

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
May 27, 2026
Registry last updated
Jun 1, 2026

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.