An interventional study of Lichtenstein Tension-Free Mesh Hernioplasty and Laparoscopic Transabdominal Preperitoneal (TAPP) Repair in Hernia Inguinal, sponsored by GSVM Medical College. Active, not recruiting at 1 site in India. Open to participants aged 5 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-07-16.
Sponsored by GSVM Medical College · Not applicable, Interventional, and Treatment
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.
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 .
543 studies on the registry are indexed under Hernia, Inguinal; 92 are open to participants now.
This study's enrollment of 60 is below the median of 90 across 395 interventional studies indexed under Hernia, Inguinal.
Browse Hernia, Inguinal studies →GSVM Medical College is the lead sponsor of 6 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Inclusion Criteria: 1. 5 -80 years 2. Any gender 3. Direct Hernia 4. Indirect hernia
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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
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
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
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 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.
Operative time
Total duration of surgery in minutes, measure skin incision to reversal of pneumoperitoneum
Time frame: Intraoperative (measure during surgical procedure on day1)
Postoperative ileus
Delayed return of bowel function by flatus or bowel movement, abdominal distention or need for nasogastic tube decompression
Time frame: Up to 5 days
Surgical site infection
Superficial and deep wound infection including erythema , discharge or wound dehiscence
Time frame: Up to 30 days post operation
Hospital stay
Total number of days the date of operation to discharge from hospital
Time frame: From date of surgery untill discharge , assessed upto 14days
Plan to share: Yes — De-identified individual participants( IPD ) related to operative time, hospital stay and post operative complications
Supporting information: Clinical study report
Time frame: 6 months after publication of results for 2 years
Access criteria: Qualifed researchers upon reasonable request
No publications or documents are linked to this record.
This study is active, not recruiting, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.
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GSVM Medical College