This study aim to compare efficacy and safety of Laparoendoscopic single site total
extraperitoneal inguinal hernia repair /LESS TEP/ and traditional total extraperitoneal
hernia repair with 3 ports /TEP/.

LESS TEP vs. Three Port TEP for Inguinal Hernia Repair

Inguinal Hernia

This is a prospective, double blinded, randomized trial. It compared of Laparoendoscopic
single site total extraperitoneal inguinal hernia repair /LESS TEP/ and traditional total
extraperitoneal hernia repair with 3 ports /TEP/.

Inguinal hernia is one of the most common surgical diseases. Laparoscopic hernia repairs
include two types, TEP and TAPP. Laparoscopic inguinal hernia repair was associated with
less post operative pain, a shorter recovery period and better cosmetic results. Efforts
are continuing to further reduce the port related morbidities and improve the cosmetic
outcomes of laparoscopic surgery, including reduction of the size and number of ports.
This has led to the evolution of a novel surgical approach now collectively known as
laparoendoscopic single-site surgery.

200 patients will undergo TEP inguinal hernia repair. They will be randomized in two
groups by sealed envelope method.

Group A: Standard TEP with 3 ports (10mm. and 2 ports of 5mm.). In case of difficulty in
Standard 3 port TEP inguinal hernia repair, the procedure will be converted to TAPP.

Group B: LESS TEP with single skin incision 2-3cm. In case of difficulty in LESS TEP
inguinal hernia repair, the procedure will be converted to standard 3 port repair or
TAPP.

Patient will be informed at consenting that 3 wound plasters will be applied to their
abdomen regardless of whether they are in the single port or 3- ports group so that they
would not know which group they have been randomized to. The blind will only be lifted
after pain score and area of pain has been recorded before discharge.

Standard 3 port TEP

LESS TEP

Laparoendoscopic Single-site Versus Three Port Totally Extraperitoneal Hernia Repair: A Prospective Double Blinded Randomized Clinical Trial

Assessment of post-operative pain according to the visual analog scale pain score - From
0 to 10 - 0 is no pain and 10 is severe pain.

Assessment of interoperation procedure of the incident of spermaduct, vessel and other
organ damage

Scar evaluation using Patient and Observer Scar Assessment Scale (POSAS) 4 week after the
surgery

Group A will undergo laparoscopic TEP inguinal hernia repair with 3 ports (10 mm , and 2
ports of 5 mm ).

Group B will undergo laparoscopic TEP inguinal hernia repair with a single skin incision
2-3cm.

LESS TEP vs. Three Port TEP for Inguinal Hernia Repair

About this trial

Study ID

Status

Type

Phase

Placebo

Accepting

Not accepting

Trial Timing

What is this trial about?

What are the participation requirements?

Locations

Location

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