Use of Diathermy Versus Blunt Dissection in TEP for Inguinal Hernia

Status Completed

Clinical Trial Summary

Clinical Trial Description

There is a long debate whether monopoloar or blunt dissection should be adopted in TEP to minimise the chance of seroma formation. This study aims at study the effect on seroma formation (and pre-peritoneal drain output) by 2 techniques in randomised controlled trial.

all male and female patients presented with first occurrence, unilateral inguinal hernia anticipated for laparoscopic TEP are included into study after informed consent. Patients are randomized into "diathermy-preferred" (DP) group and "blunt dissection-preferred" (BDP) group just before commence of operation after general anaethesia. Surgeons are instructed to use monopolar energy as main dissection method for whole operation if possible (DP), where as blunt dissection is the preferred choice in BDP group but it is allowed to use monopolar energy if needed. Total energy time is measured by a specially designed device attaching to the monopolar pedals as accurate as to millisecond (ms). Pre-peritoneal drains are inserted for drainage and removed 23 hours after operation. Energy time, drainage output, ultrasonic seroma sizes at day 1, day 6, 1 month post-operations, recurrence are compared between 2 groups. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT03665883
Study type	Interventional
Source	The University of Hong Kong
Contact
Status	Completed
Phase	N/A
Start date	September 1, 2018
Completion date	December 1, 2019

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT02975401` - Robotic Utility for Surgical Treatment of Groin Hernias	N/A
Completed	`NCT01421602` - A Prospective Observational Study on the Use of a Self Fixating Lightweight Polyester Mesh in Open Inguinal Hernia
Recruiting	`NCT01830452` - Less Chronic Pain After Lichtenstein Hernioplasty Using the Self-gripping Parietex Progrip Mesh	Phase 4
Completed	`NCT00130091` - The Addition of Clonidine to 0.2% Ropivacaine for Wound Instillation After Minor Lower Abdominal Surgery in Children	Phase 2
Recruiting	`NCT03041948` - Evaluating Pain Outcomes of Caudal vs Ilioinguinal Nerve Block in Children Undergoing Hernia Repair	N/A
Completed	`NCT02751190` - Chronic Pain After Groin Hernia Repair	N/A
Completed	`NCT04839848` - Chronic Postoperative Pain After the Lichtenstein Groin Hernioplasty
Completed	`NCT04228536` - Chronic Pain After Groin Hernia Surgery in Women
Recruiting	`NCT02011698` - Absorbable Sutures , Non Absorbable Sutures or Biologic Fibrin Glue for Protesic Mesh Fixing in Lichtenstein Technique for Primitive Groin Hernia Repair: a Randomized Prospective Multicentric Trial	N/A
Completed	`NCT00827944` - Parietex Progrip Study	Phase 4
Completed	`NCT00749268` - AbsorbaTack Evaluation of Postoperative Pain Following Laparoscopic Hernia Repair	Phase 4
Recruiting	`NCT03673163` - Lidocaine Infusion for Pain After Herniotomy	N/A
Terminated	`NCT00735124` - Post-Operative Pain Scores and Analgesic Requirements After Elective Inguinal Herniorrhaphy	Phase 2/Phase 3
Recruiting	`NCT05323552` - Hernia Repair Using the Totally ExtraPeritoneal (TEP) Laparoscopic Approach Without Curare and Without Orotracheal Intubation.
Completed	`NCT03326700` - Effects of Hernia Repair on Men's Sexual Functions	N/A
Completed	`NCT02616406` - Objective Measure of Recovery After Outpatient Surgery
Recruiting	`NCT05839587` - Transabdominal Preperitoneal Inguinal Hernia Repair	N/A
Completed	`NCT03392636` - Comparison of Recurrence Rate of 2 Herniotomy Techniques in Children Older Than 2 Years	N/A
Completed	`NCT05600296` - Ultrasound-guided Ilioinguinal/Iliohypogastric Nerve Block Compared to the Combined Therapy With Spermatic Cord Block	Phase 1
Recruiting	`NCT05280860` - Effect of Bilateral RSB on Postoperative Delirium in Elderly Patients Undergoing Laparoendoscopic Single-site Surgery	N/A