Two Ways to Manage the Hernia Sac During Laparoscopic Inguinal Hernia Repair
Official title: Postoperative Outcomes of Transabdominal Preperitoneal Repair (TAPP) Versus Primary Abandon of the Sac (PAS) Technique in Laparoscopic Indirect Inguinal Hernia Repair: A Prospective Randomized Trial
Run by Hitit University · NCT07891845 · Data updated 2026-11-12
This trial tests whether leaving the lower part of the hernia sac in place during laparoscopic repair is as safe as fully removing it for adults with a primary indirect inguinal hernia.
Quick facts
| Study type | Interventional |
|---|---|
| Sex | All |
| Enrollment | 90 (estimated) |
| Sponsor | Hitit University Academic / other |
| Locations | 1 site (Çorum) |
| Status | Recruiting |
| Started | July 1, 2026 |
| Main results expected | January 1, 2027 |
| Study ends | January 1, 2028 |
| Registry record updated | October 23, 2026 |
| Trial ID | NCT07891845 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 or older with a primary unilateral indirect inguinal hernia scheduled for elective laparoscopic repair.
✕Probably not a fit
Patients with bilateral, recurrent, direct, femoral, incarcerated, or sliding hernias, or those not undergoing laparoscopic repair, may not benefit from this approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study compares two laparoscopic techniques for indirect inguinal hernia repair: the standard method that fully dissects and returns the sac to the abdomen, and Primary Abandon of the Sac (PAS), which leaves the lower sac in place to reduce tissue dissection. All participants receive mesh repair, with random assignment to either technique and blinded outcome assessment. The study evaluates seroma formation at 30 days, plus secondary outcomes including operation time, pain, quality of life, complications, time to return to daily activities, and hernia recurrence. Approximately 90 adults with a primary unilateral indirect inguinal hernia are planned to enroll, with follow-up at 1 day, 7 days, 1 month, 6 months, and 12 months postoperatively.
Why it matters
Potential benefit: If PAS proves non-inferior to standard dissection, patients could experience shorter surgery times, similar seroma rates, and potentially faster recovery.
How similar studies have gone: Prior studies in related hernia repairs suggest that alternative sac management strategies can be feasible, but direct evidence for PAS in this context is being gathered here.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 18 years or older. * Primary unilateral indirect inguinal hernia. * Scheduled for elective laparoscopic inguinal hernia repair. * Suitable for general anesthesia and laparoscopic surgery. * Provision of written informed consent. Exclusion Criteria: * Bilateral inguinal hernia. * Recurrent inguinal hernia. * Direct inguinal or femoral hernia without a qualifying indirect inguinal hernia. * Incarcerated or strangulated hernia requiring emergency surgery. * Sliding hernia. * Large spermatic cord lipoma. * Previous preperitoneal surgery. * Contraindication to general anesthesia or laparoscopic surgery.
Where it's running
-
Hitit University Faculty of Medicine
Çorum, Turkey (Türkiye) Recruiting
Study contacts
- Study coordinator: Veysel Barış TURHAN, MD
- Email: drbaristurhan@hotmail.com
- Phone: +905079945141
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.