Randomized clinical trial comparing total extraperitoneal with Lichtenstein inguinal hernia repair (TEPLICH trial)

2019 ◽  
Vol 106 (7) ◽  
pp. 845-855 ◽  
Author(s):  
N. Gutlic ◽  
A. Gutlic ◽  
U. Petersson ◽  
P. Rogmark ◽  
A. Montgomery
Keyword(s):  
Clinical Trial ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Randomized Clinical Trial ◽  
Inguinal Hernia Repair ◽  
Total Extraperitoneal

scholarly journals O12 OPEN PREPERITONEAL INGUINAL HERNIA REPAIR, TREPP VERSUS TIPP IN A RANDOMIZED CLINICAL TRIAL

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Willem Bökkerink ◽  
Giel Koning ◽  
Patrick Vriens ◽  
Roland Mollen ◽  
Willem Akkersdijk ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Learning Curve ◽  
Randomized Clinical Trial ◽  
Inguinal Hernia Repair ◽  
Recurrence Rates ◽  
Significant Difference ◽  
Related Quality

Abstract Aim The preperitoneal mesh position for inguinal hernia repair showed beneficial results regarding Chronic Postoperative Inguinal Pain (CPIP) with low recurrence rates. Two open preperitoneal techniques, the TransREctus Sheath PrePeritoneal (TREPP) and the TransInguinal PrePeritoneal (TIPP) technique, were compared in a randomized clinical trial with the hypothesis of less patients with CPIP after TREPP due to complete avoidance of nerve contact. Materials and Methods Adult patients with a primary unilateral inguinal hernia were randomized to either TREPP or TIPP in four hospitals. Prior to the trial’s start the study protocol was ethically approved and published. Outcomes included CPIP after 1 year (primary outcome) and recurrence rates, adverse events and Health related Quality of Life (secondary outcomes). Follow-up was performed at 2 weeks, 6 months and 1 year. Results Baseline characteristics were comparable in both groups. Pain was less often present after TREPP at 2 weeks and 6 months, but the CPIP at rest at 1 year was comparable 1.9% after TREPP vs 1.4% after TIPP, p = 0.535). The overall recurrence rate was higher in the TREPP group, 8.9% vs 4.6%, p = 0.022). Corrected for a learning curve for TREPP, no significant difference could be assessed (TREPP 5.7% and TIPP 4.8%, p = 0.591). Conclusions both the TREPP and TIPP technique resulted in a low incidence of CPIP after 1 year follow-up. The TREPP method can be considered a solid method for inguinal hernia repair if expertise is present. The learning curve of the TREPP techniques needs further evaluation.

scholarly journals Quadratus Lumborum Block As A Single Anesthetic Method For Laparoscopic Totally Extraperitoneal (Tep) Inguinal Hernia Repair: A Randomized Clinical Trial

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Murillo de Lima Favaro ◽  
Silvio Gabor ◽  
Diogo Barros Florenzano Souza ◽  
Anderson Alcoforado Araújo ◽  
Ana Luiza Castro Milani ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Randomized Clinical Trial ◽  
Inguinal Hernia Repair ◽  
Totally Extraperitoneal ◽  
Quadratus Lumborum Block ◽  
Quadratus Lumborum

Randomized clinical trial assessing impact of a lightweight or heavyweight mesh on chronic pain after inguinal hernia repair

2005 ◽  
Vol 92 (2) ◽  
pp. 166-170 ◽  
Author(s):  
P. J. O'Dwyer ◽  
A. N. Kingsnorth ◽  
R. G. Molloy ◽  
P. K. Small ◽  
B. Lammers ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Chronic Pain ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Randomized Clinical Trial ◽  
Inguinal Hernia Repair ◽  
Heavyweight Mesh
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