Minimally Invasive TransREctus Sheath PrePeritoneal Procedure TREPP for Repairing Inguinal Hernia A Single-Center Prospective Study

What this Trial Is About

Inguinal hernia repair is one of the most common surgeries worldwide, with tension-free mesh repair being the main treatment. This research evaluates the trans rectus sheath extra-peritoneal procedure TREPP, a minimally invasive open approach that accesses the preperitoneal space through the rectus sheath. TREPP aims to avoid interfering with the inguinal nerves, which are believed to play a key role in chronic postoperative inguinal pain CPIP, a common long-term issue after open hernia repair. The study involves patients undergoing the TREPP procedure for inguinal hernia repair. TREPP is performed as a minimally invasive open surgery that uses a medial approach through the rectus sheath to reach the preperitoneal space, avoiding the lateral abdominal wall nerves. This prospective cohort study will monitor patients after surgery to evaluate outcomes such as hernia recurrence and chronic pain. Participants will be followed for about one year to assess the primary outcome of hernia recurrence and the secondary outcome of chronic postoperative inguinal pain three months after surgery. Researchers will monitor patients through clinical follow-up visits and assessments to measure these outcomes. The study aims to better understand the effectiveness and safety of the TREPP technique in reducing long-term pain and hernia recurrence.

TransREctus Sheath PrePeritoneal Procedure (TREPP) for Inguinal Hernia Repair