Comparing Early Recovery After Conventional and Robot-Assisted Laparoscopic Repair of Bilateral Inguinal Hernia in Adults

What this Trial Is About

This research investigates the early recovery after laparoscopic repair of bilateral inguinal hernias using either conventional laparoscopic surgery l-TAPP or robot-assisted laparoscopic surgery r-TAPP. The study compares these two minimally invasive methods, with or without the injection of local anesthetics at the trocar wound sites, to better understand postoperative outcomes. The purpose is to evaluate differences in recovery and quality of life, as well as safety and recurrence rates after surgery. Participants will be randomly assigned to one of four groups conventional laparoscopic repair with or without local anesthetics, or robot-assisted laparoscopic repair with or without local anesthetics. Both surgical approaches use a self-fixating mesh placed in the pre-peritoneal space. The study is conducted at the Maria Middelares hospital with 200 adult patients over a 24-month inclusion period. Patients will be blinded to which surgical method they receive. During the study, participants will complete quality of life questionnaires before surgery, and again at 1 and 12 months postoperatively. Clinical follow-up will assess early postoperative recovery and hernia recurrence. The main outcome measured is the change in the Post Anesthetic Discharge Scoring System PADSS score within 24 hours after surgery. Researchers will also monitor quality of life and recurrence rates. The total study duration extends until December 2029.

Conventional Versus Robot Assisted Laparoscopic Inguinal Hernia Repair