Different Laparoscopic Techniques for Management of Congenital Inguinal Hernia in Pediatrics

Congenital Inguinal Hernia Clinical Trial

Official title:

Different Laparoscopic Techniques for Management of Congenital Inguinal Hernia in Pediatrics

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05919836
• Other study ID #: lap hernia in pediatrics
• Status: Not yet recruiting
• Phase: N/A
• Start date: September 2023
• Est. completion date: June 2025

Study information

• Verified date: June 2023
• Source: Assiut University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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

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.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 69
• Est. completion date: June 2025
• Est. primary completion date: April 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 1 Month to 5 Years

Eligibility

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

Related Conditions & MeSH terms

• Congenital Inguinal Hernia
• Hernia
• Hernia, Inguinal

Intervention

Procedure:
• Laparoscopic assisted hernia
Percutaneous assisted laparoscopic hernia
• Laparoscopic hernia by purse string closure
Laparoscopic purse string closure of hernial sac
• Total laparoscopic dissection of hernial sac
Total laparoscopic dissection of hernial sac

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Operative time	Comparison between operative time in the three approaches	4 months
Primary	Early recurrence	Comparison between early recurrence of hernia in the three approaches	4 months
Primary	Post operative pain duration	Comparison between post operative pain duration between the three approaches	4 months