The Importance of Preserving the Round Ligament in the Repair of Inguinal Hernias in Women
A Prospective Analysis of the Effects of Round Ligament Preservation and Division in Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair in Women.
Muhammet Mustafa Vural
106 participants
Apr 20, 2024
INTERVENTIONAL
Conditions
Summary
The aim of this study is to evaluate the impact of preserving or not preserving the round ligament during laparoscopic Trans Abdominal Pre-Peritoneal (TAPP) hernia repair on postoperative outcomes in female patients. Specifically, the study will compare outcomes such as postoperative pain, seroma, hematoma, prolapsus of uterina , recurrence rates, and quality of life between patients whose round ligament was preserved versus those whose ligament was cut.
Eligibility
Inclusion Criteria7
- For patients applying to the General Surgery Clinic of Basaksehir Cam Sakura City Hospital:
- Age Range: Female patients aged between 18 and 70 years.
- Type of Hernia: Patients with inguinal, direct or indirect, femoral, and obturator hernias.
- Surgical Indication: Patients indicated for TAPP (Transabdominal Preperitoneal) surgery.
- Consent: Patients who consent to participate in the study.
- General Anesthesia: Patients who are suitable for general anesthesia.
- Follow-up: Patients who attend follow-up appointments regularly.
Exclusion Criteria6
- Age: Female patients under 18 years old or over 70 years old.
- Surgical Technique: Patients who are operated on with techniques other than TAPP (e.g., TEP, conventional surgery).
- Hernia Type: Patients with strangulated or incarcerated hernias.
- Hernia Location: Patients with hernias outside the groin region.
- Surgical Site: Surgeries performed in different clinics.
- Gender: Male patients.
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Interventions
Group 1 (Round Ligament Preservation): Patients will undergo laparoscopic TAPP surgery with the round ligament preserved. The preservation will be achieved using a longitudinal incision technique in the peritoneum.
Group 2 (Round Ligament Cutting): Patients will undergo laparoscopic TAPP surgery with the round ligament cut close to the peritoneum using an energy device.
Locations(1)
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NCT06786702