Routine Pathological Examination of Hernia Sac; Is it a Workload or Necessary?

NCT ID: NCT04383249

Last Updated: 2020-05-12

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 437 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2020-01-01
• Study Completion Date: 2020-05-07

Brief Summary

Routine microscopic examination of the hernia sac is controversial. While some centers do not recommend a routine microscopic examination in inguinal hernias in adult patients, they recommend them in abdominal wall hernias. The investigators aimed to discuss the pathology results and unexpected histopathological findings who underwent abdominal wall and inguinal hernia operation in the light of the literature.

Detailed Description

The hernia is defined as the passage of an organ or tissue from one anatomical region to another. Hernia sacs are sent to the pathology department, although there is a difference between clinics. Routine microscopic examination of the hernia sac is controversial. While some centers do not recommend a routine microscopic examination in inguinal hernias in adult patients, they recommend them in abdominal wall hernias. Here, the investigators aimed to discuss the pathology results and unexpected histopathological findings who underwent abdominal wall and inguinal hernia operation in the light of the literature. Patients who have operated hernia and sent hernia sac for histopathological examination were retrospectively screened. Emergency and elective operated patients were included. Hernia repairs without pathology were excluded from the study. Patients' gender, age, operation notes, and pathology results were analyzed. Pathology results were analyzed in two groups as expected findings and unexpected findings. In our study, the probability of encountering an unexpected pathological result was found to be quite low in the pathological evaluation of the hernia sac. Although it may cause additional workload and cost, all hernia sacs should be sent to routine pathological examination. The investigators believe that making savings in these areas through further investigation after the decision of the pathologist.

Conditions

Pathology

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: RETROSPECTIVE

Study Groups

Pathology result

Pathology result of the hernia sac

Pathology result

Intervention Type: DIAGNOSTIC_TEST

Pathology result of the hernia sac

Interventions

Pathology result

Pathology result of the hernia sac

Intervention Type: DIAGNOSTIC_TEST

Eligibility Criteria

Inclusion Criteria

• Emergency operated patients
• Elective operated patients

Exclusion Criteria

• Hernia repairs without pathology examinations

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Dr. Ersin Arslan Education and Training Hospital

OTHER_GOV

Sponsor Role: lead

Responsible Party

Ufuk Uylas

Specialist

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Dr. Ersin Arslan Training and Resource Hospital

Gaziantep, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

07052020

Identifier Type: -

Identifier Source: org_study_id