DrainrTAPP: Use of Pre-peritoneal Drainage in rTAPP - a Comparative Study
Study Details
Study Description
Brief Summary
The safety and efficacy of pre-peritoneal drain after TEP has been validated in our previous studies - which can effectively reduce seroma formation post-operatively and safe in clinical use. We shall extend the indication of pre-peritoneal drainage after robotic TAPP, results will be compared with our retrospective cohort from previous studies.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
The safety and efficacy of pre-peritoneal drain after TEP has been validated in our previous studies - which can effectively reduce seroma formation post-operatively and safe in clinical use. We shall extend the indication of pre-peritoneal drainage after robotic TAPP, results will be compared with our retrospective cohort from previous studies.
Criteria of enrolling into trial is same as our previous experiment: aged 18-80, unilateral, first occurrence, reducible, non-inguino-scrotal inguinal hernia fit for GA for minimally invasive hernia repair. Routine robotic TAPP performed in standardized manner and pre-peritoneal drains are placed for drainage of 23 hours post-operatively. Drain output, pain scores, status of seroma formation (clinical, USG detected), post-operative recovery and recurrence will be monitored and compared.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Use of pre-peritoneal drainage after rTAPP Use of pre-peritoneal drainage after rTAPP Outcomes will be compared with retrospective cohort from our previous experiments |
Device: Use of pre-peritoneal drainage after rTAPP
Use of pre-peritoneal drainage after rTAPP
|
Outcome Measures
Primary Outcome Measures
- Pre-peritoneal Drainage output after rTAPP [at 23 hours post-operation]
Pre-peritoneal Drainage output (ml) after rTAPP
Secondary Outcome Measures
- Seroma formation [day 7, 1 month]
Clinical detectable seroma and size of seroma detected by USG after rTAPP with pre-peritoneal drainage
Eligibility Criteria
Criteria
Inclusion Criteria:
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Unilateral,
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First occurrence
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Reducible inguinal hernia
Exclusion Criteria:
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Not fit for GA,
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Bilateral hernia
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Recurrent hernia
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Irreducible hernia
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Inguino-scrotal extension hernia
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Non-inguinal hernia
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Department of Surgery, The University of Hong Kong - Shenzhen Hospital | Shenzhen | China |
Sponsors and Collaborators
- The University of Hong Kong
Investigators
- Principal Investigator: Joe KM FAN, MBBS MS, The University of Hong Kong-Shenzhen Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
- Fan JKM, Liu J, Chen K, Yang X, Xu X, Choi HK, Chan FSY, Chiu KWH, Lo CM. Preperitoneal closed-system suction drainage after totally extraperitoneal hernioplasty in the prevention of early seroma formation: a prospective double-blind randomised controlled trial. Hernia. 2018 Jun;22(3):455-465. doi: 10.1007/s10029-018-1731-2. Epub 2018 Jan 13.
- Fan JKM, Liu J, Chen K, Yang X, Xu X, Choi HK, Chan FSY, Chiu KWH, Lo CM. Reply to Comment to: Preperitoneal closed-system suction drainage after totally extraperitoneal hernioplasty in the prevention of early seroma formation: a prospective double-blind randomized controlled trial. Hernia. 2018 Jun;22(3):469-470. doi: 10.1007/s10029-018-1764-6. Epub 2018 Apr 21.
- Fan JKM, Yip J, Foo DCC, Lo OSH, Law WL. Randomized trial comparing self gripping semi re-absorbable mesh (PROGRIP) with polypropylene mesh in open inguinal hernioplasty: the 6 years result. Hernia. 2017 Feb;21(1):9-16. doi: 10.1007/s10029-016-1545-z. Epub 2016 Nov 26.
- Gao D, Wei S, Zhai C, Chen J, Li M, Gu C, Wu H. Clinical research of preperitoneal drainage after endoscopic totally extraperitoneal inguinal hernia repair. Hernia. 2015 Oct;19(5):789-94. doi: 10.1007/s10029-014-1310-0. Epub 2014 Sep 20.
- Li J, Zhang W. Comment to: Preperitoneal closed-system suction drainage after totally extraperitoneal hernioplasty in the prevention of early seroma formation: a prospective double-blind randomised controlled trial. Fan JKM, Liu J, Chen K, Yang X, Xu X, Choi HK, Chan FSY, Chiu KWH, Lo CM. Hernia. 2018 Jun;22(3):467-468. doi: 10.1007/s10029-018-1762-8. Epub 2018 Apr 21.
- HERN-rTAPPDRAIN-01