Percutaneous Internal Ring Suturing is a Safe and Effective Method in the Minimal Invasive Treatment of Inguinal Hernia in Neonates
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- Surgery Time
研究概览
简要总结
In this study, preoperative physical examination findings, peroperative findings and data, and postoperative follow-up results of newborns who underwent inguinal hernia repair with PIRS ("Percutaneous Internal Ring Suturing") method will be evaluated retrospectively.
详细描述
Congenital inguinal hernia is one of the most common surgical pathologies of childhood. Its treatment includes high ligation of the patent processus vaginalis by open or laparoscopic method. There are many described minimally invasive/laparoscopic repair techniques of inguinal hernias in children. One of them is "percutaneous internal ring suturing" or "Percutaneous Inner Ring Suturing".
There are many studies on the PIRS method in children. Two of these studies are prospective clinical studies published previously by the investigators of this study: in the first, the PIRS method was shown to be a safe and effective method for minimally invasive repair of inguinal hernia in children, and in the second, the use of subparalytic laryngeal masks in anesthesia of patients who underwent PIRS was shown to be sufficient for airway protection and anesthesia management in children undergoing laparoscopy.
Although there are many studies on the repair of inguinal hernia in children with PIRS or other minimally invasive methods in the last decade, there are very limited studies on the use of these methods in newborns, a special group of childhood patients. In the literature, there is no study examining only newborn patients. In this context, the study will be a first in the literature.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 1 Day 至 28 Days(Child)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Having undergone PIRS surgery at the study institute between October 1, 2015 and January 1, 2023
- •Age between 0-28 days
排除标准
- •Age > 28 days
- •Having had surgery with open surgery
- •Having another surgical procedure performed in the same session
结局指标
主要结局
Surgery Time
时间窗: Measured as time from skin prep until dressing is performed (approx. 20-30minutes)
Time from skin prep to end of dressing
Presence of Contralateral Patent Processus Vaginalis
时间窗: Measured during surgery (approx. 5-10minutes)
Whether a patent processus vaginalis was observed and repaired on laparoscopy
Anesthesia Time
时间窗: Measured in minutes from induction to awakening (approx. 30-40minutes)
Time from induction to awakening
次要结局
- Type of Airway Management Used(Measured throughout surgery (20-30minutes))
- Dose of Muscle Relaxant(Measured throughout surgery (20-30minutes))
研究者
Assoc. Prof. David T. Thomas, M.D.
Associate Professor
Maltepe University
