RecruitingNCT05323552

Hernia Repair Using the Totally ExtraPeritoneal (TEP) Laparoscopic Approach Without Curare and Without Orotracheal Intubation.

Prospective Study Assessing the Laparoscopic Totally ExtraPeritoneal (TEP) Hernia Repair Without Curare and Without Orotracheal Intubation (Free Curare TEP Study).

Sponsor

Elsan

Enrollment

60 participants

Start Date

Nov 21, 2022

Study Type

OBSERVATIONAL

Conditions

Hernia, Inguinal

Summary

Laparoscopic treatment of inguinal hernia with the totally extraperitoneal approach (TEP) is indicated for simple and bilateral inguinal hernias. It consists of placing a large prosthesis in the posterior position by direct access to the extra-peritoneal space. This prosthesis is interposed between the defective wall and the peritoneum. Unlike the transperitoneal laparoscopic method, the strictly extraperitoneal approach reduces complications related to contact with the intestinal loops and preserves the peritoneal layer intact. TEP approach is traditionally performed under general anesthesia with curare and orotracheal intubation. In the study, we would like to assess this intervention without curare and without standard orotracheal intubation but with a laryngeal mask airway to permit ventilation.

Eligibility

Min Age: 18 Years

Inclusion Criteria6

Male or female aged 18 or over
BMI below 30
Non-recurrent unilateral hernia
Operating time estimated at less than 60 minutes at the surgeon's discretion
Patients eligible to an ambulatory surgical setting at the discretion of the surgeon and the anesthetist
Patient informed of the study and agreed to take part.

Exclusion Criteria3

Patient under legal protection measures
Impossibility of using a laryngeal mask airway
Pregnant or breastfeeding woman

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Interventions

PROCEDURELaparoscopic TEP hernia repair without curare and without orotracheal intubation.

All the techniques and protocols used for this monocentric study are standardized: * The anesthesia is general, the anesthetic products administered are identical, * ventilation is ensured by the use of a laryngeal mask airway, without curare administered * the surgery is an extraperitoneal laparoscopy with an optical trocar under the umbilical and two operators with the placement of a preformed type 3G polypropylene prosthesis * the analgesic protocol is free of opioids (Opioid Free Anesthesia - OFA)