Health Condition 1: K429- Umbilical hernia without obstruction or gangrene
Conditions
Interventions
Intervention1: low pressure pneumoperitoneum (8- 10 mm Hg) with Deep NEUROMUSCULAR BLOCKADE NMB in
IPOM(intraperitoneum onlay mesh repair) plus repair: pain will be asses 6 and 24 hours after the p
Sponsors
All India Institute Of Medical Sciences Delhi, address
Eligibility
Inclusion criteria
Inclusion criteria: -BMI - 18.5 - 35 kg/m? WHO definition - ( normal, overweight , grade 1 obesity and grade 2 obesity ) - primary ventral hernia - umbilical type W1 and W2 according to European hernia society classification - patient is able to follow instruction
Exclusion criteria
Exclusion criteria: a) Unable to give consent or patient refusal. b) Prolonged surgery due to intraoperative complications such as unexpected bleeding and hollow viscous injury. c) Conversion to open surgery d)Unfit for general anaesthesia e)Pregnancy. f)Need for additional port besides standard three port for IPOM Plus.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.To asses and compare pain during the post operative period at 6 hours and 24 hours post-surgery in two groups A(low pressure pneumoperitoneum with deep neuromuscular blockade) and B (standard pressure pneumoperitoneum)Timepoint: Post operative period at 6 hours and 24 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Compare difficulty in performing surgery according to predefined surgical rating scale - likert scale in group A & BTimepoint: Immediately at the end of surgery;2.Compare operative time( Skin incision to skin closure in minutes) in group A & BTimepoint: Immediately at the end of surgery;3. Compare rise of inflammatory markers post operatively CRP in group A & BTimepoint: 24 hours post operatively;4.Proportion of patients in which conversion to standard pressure pneumoperitoneum is requiredTimepoint: At the end of data collection i.e. 1 year 6months;5.Compare need for conversion of intracoporeal to transfacial method, for closure of defect in group A & BTimepoint: Immediately at the end of surgery;6.Compare need for additional analgesia( other than Paracetamol 10-15 mg/kg & diclofenac 1.5-2 mg/kg 1.5-2 mg/kg) in group A & BTimepoint: 6hors & 24 hours post operatively | — |
Countries
India
Contacts
Public Contactankita singh
All India Institute Of Medical Sciences Delhi,
Outcome results
None listed