Different Laparoscopic Techniques for Management of Congenital Inguinal Hernia in Pediatrics

NCT ID: NCT05919836

Last Updated: 2023-06-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

69 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-30

Study Completion Date

2025-06-30

Brief Summary

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

Detailed Description

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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.

Conditions

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Congenital Inguinal Hernia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Percutaneous assisted laparoscopic hernia

Group Type ACTIVE_COMPARATOR

Laparoscopic assisted hernia

Intervention Type PROCEDURE

Percutaneous assisted laparoscopic hernia

Laparoscopic Purse string closure of hernial sac

Group Type ACTIVE_COMPARATOR

Laparoscopic hernia by purse string closure

Intervention Type PROCEDURE

Laparoscopic purse string closure of hernial sac

Laparoscopic Total dissection of hernial sac

Group Type ACTIVE_COMPARATOR

Total laparoscopic dissection of hernial sac

Intervention Type PROCEDURE

Total laparoscopic dissection of hernial sac

Interventions

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Laparoscopic assisted hernia

Percutaneous assisted laparoscopic hernia

Intervention Type PROCEDURE

Laparoscopic hernia by purse string closure

Laparoscopic purse string closure of hernial sac

Intervention Type PROCEDURE

Total laparoscopic dissection of hernial sac

Total laparoscopic dissection of hernial sac

Intervention Type PROCEDURE

Eligibility Criteria

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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
Minimum Eligible Age

1 Month

Maximum Eligible Age

5 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Mario Ayoub Youssef Sorial

Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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lap hernia in pediatrics

Identifier Type: -

Identifier Source: org_study_id

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