A Comparison Between Two Laparoscopic Techniques in Management of Inguinal Hernias in Pediatrics

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-26

Study Completion Date

2026-10-20

Brief Summary

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To compare between the use of the percutaneous internal ring suturing (PIRS) technique and the Laparoscopic intraperitoneal purse-string suture sac closure technique. in pediatrics \& evaluate the safety, efficacy feasibility ,operative time ,postoperative pain ,recurrence rate of both approaches.

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Detailed Description

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Inguinal hernia repairs (IHRs) are one of the most common procedures performed by pediatric surgeons around the world. Although the open method remains the most common for pediatric IHR, laparoscopic IHR has increased dramatically between 2009 and 2018. Over a dozen different laparoscopic techniques have been developed .With the rise in popularity of laparoscopic IHR, many researchers have set out to examine the differences in efficacy of open IHR compared with various laparoscopic IHR techniques. However, there are few studies directly comparing different laparoscopic techniques. By determining outcome discrepancies among popular laparoscopic techniques for pediatric IHR, we can help improve surgical techniques, postoperative outcomes, and patient satisfaction.The proposed advantages of the laparoscopic approach include visualization of a contralateral PPV, identification of less common (direct, femoral, pantaloon) hernias ,diminished postoperative pain, more rapid return to normal function, and improved cosmesis. Two laparoscopic techniques that have gained popularity among pediatric surgeons in the past decade, the percutaneous internal ring suturing (PIRS) technique and Laparoscopic intraperitoneal purse string suture sac closure technique.

Conditions

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Inguinal Hernia Pediatrics

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Laparscopic percutaneous internal ring suturing (PIRS) technique in Management of inguinal hernia

Use of laparoscopy in Management of inguinal hernia in pediatrics without entering peritoneal cavity

Group Type ACTIVE_COMPARATOR

Laparscopic percutaneous internal ring suturing (PIRS) technique in Management of inguinal hernia

Intervention Type PROCEDURE

Laparscopic percutaneous internal ring suturing (PIRS) technique

Laparoscopic intraperitoneal purse string suture sac closure technique in pediatrics.

Use of laparoscopy in Management of inguinal hernia in pediatrics through entering peritoneal cavity

Group Type ACTIVE_COMPARATOR

Laparscopic inguinal herniotomy in pediatrics

Intervention Type PROCEDURE

Laparoscopic intraperitoneal purse string suture sac closure technique in pediatrics.

Interventions

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Laparscopic percutaneous internal ring suturing (PIRS) technique in Management of inguinal hernia

Laparscopic percutaneous internal ring suturing (PIRS) technique

Intervention Type PROCEDURE

Laparscopic inguinal herniotomy in pediatrics

Laparoscopic intraperitoneal purse string suture sac closure technique in pediatrics.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 1\. Age 1month to 18 years. 2. Denovo Inguinal Hernias. 3. Uncomplicated Inguinal Hernias.

Exclusion Criteria

* 1\. Complicated Inguinal Hernia 2. Age more than 18 Years 3. cases inwhich laparoscopic surgery is contraindicated 4. cases with collagen disease. 5. Recurrent Inguinal Hernia.

Minimum Eligible Age

1 Month

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No