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

2026年5月27日 更新者：Marwa Nabil Hussien、Sohag University

Clinical Outcomes of Laparoscopic Transabdominal Preperitoneal (TAPP) Approach 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.

研究概览

地位

招聘中

条件

干预/治疗

研究类型

介入性

注册 (估计的)

10

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习联系方式

学习地点

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 孩子
  • 成人
  • 年长者

接受健康志愿者

不

描述

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.

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：治疗
  • 分配：不适用
  • 介入模型：单组作业
  • 屏蔽：无（打开标签）

武器和干预

参与者组/臂
干预/治疗
实验性的：Laparoscopic TAPP Repair
Patients with recurrent inguinal hernia who will undergo laparoscopic transabdominal preperitoneal (TAPP) repair using a synthetic mesh.
程序：Laparoscopic Transabdominal Preperitoneal (TAPP) Repair
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.

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Feasibility and Technical Success of Laparoscopic TAPP
大体时间：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.
During the intraoperative procedure (Day of surgery)

次要结果测量

结果测量
措施说明
大体时间
Post-operative Pain
大体时间：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).
At 24 hours, 1 week, and 1 month post-operatively
Hernia Recurrence
大体时间：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.
4 months
Operative Time
大体时间：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
During the surgical procedure (Day of surgery)
Length of Hospital Stay
大体时间：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.
From the day of surgery up to hospital discharge (typically 1-2 days)
Incidence of Post-operative Complications
大体时间：Up to 4 months post-operatively
Detection of any early complications like seroma, hematoma, or wound infection.
Up to 4 months post-operatively
Incidence of Intraoperative Complications
大体时间：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
During the surgical procedure (Day of surgery)
Time to Return to Normal Daily Activities
大体时间：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.
Up to 4 months post-operatively

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Sohag University

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2026年4月1日

初级完成 (估计的)

2026年7月1日

研究完成 (估计的)

2026年7月1日

研究注册日期

首次提交

2026年5月20日

首先提交符合 QC 标准的

2026年5月20日

首次发布 (实际的)

2026年5月27日

研究记录更新

最后更新发布 (实际的)

2026年6月1日

上次提交的符合 QC 标准的更新

2026年5月27日

最后验证

2026年5月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • Soh-Med-26-5-3MS

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

不

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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