Different Laparoscopic Techniques for Management of Congenital Inguinal Hernia in Pediatrics

Not Applicable

Not yet recruiting

• Conditions: Congenital Inguinal Hernia
• Interventions: Procedure: Laparoscopic assisted hernia; Procedure: Laparoscopic hernia by purse string closure; Procedure: Total laparoscopic dissection of hernial sac

• Registration Number: NCT05919836
• Lead Sponsor: Assiut University

Brief Summary

Comparison between multiple approaches of laparoscopic hernia ( percutaneous assisted laparoscopic hernia, purse string closure of hernial sac, total dissection of hernial sac).

Detailed Description

In pediatric age, indirect inguinal hernia represents more than 95% of the hernial disease. It is a congenital type, in contrast with adulthood in which acquired forms are more frequently found.

Inguinal hernia repair is one of the most frequently performed surgical procedure in infants and young children. Laparoscopic hernia repair in infancy and childhood is still debatable. There are many techniques available for laparoscopic hernia repair in pediatrics.

Laparoscopic hernial repair is increasingly adopted even for neonates and has achieved a high success rate with low recurrence rate with long-term follow-up. The main advantages of laparoscopy are no incision of the fascia, exploration of the other side in case of bilateral hernia, and visualization and safeguarding of the vas deferens and the spermatic vessels. Moreover, it is advantageous over open technique in case of recurrent hernia. Different modalities of techniques have been used for repair such as needlescopic disconnection of hernia sac, flip flap technique, muscular arch repair, and ring closure.

Study Timeline

• Study First Submitted: 2023-04-20
• Status Verified: 2023-06
• Study First Submitted QC: 2023-06-16
• Last Update Submitted: 2023-06-16
• Study First Posted: 2023-06-26
• Last Update Posted: 2023-06-26
• Study Start: 2023-09
• Primary Completion: 2025-04
• Study Completion: 2025-06

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 69

Inclusion Criteria

• patients in the age limit with congenital inguinal hernia

Exclusion Criteria

• recurrent hernias
• cases inwhich laparoscopic surgery is contraindicated
• cases with collagen defect diseases

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Percutaneous assisted laparoscopic hernia	Laparoscopic assisted hernia	-
Laparoscopic Purse string closure of hernial sac	Laparoscopic hernia by purse string closure	-
Laparoscopic Total dissection of hernial sac	Total laparoscopic dissection of hernial sac	-

Primary Outcome Measures

Name	Time	Method
Operative time	4 months	Comparison between operative time in the three approaches
Early recurrence	4 months	Comparison between early recurrence of hernia in the three approaches
Post operative pain duration	4 months	Comparison between post operative pain duration between the three approaches