Inguinal hernia Surgery
Conditions
Interventions
Inguinal hernia surgery will be carried out. The control arm will be operated on by specialist surgeons. The intervention arm will be operated on by medical doctors who are not surgeons but who have l
Sponsors
Karolinska Institutet
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Child aged 1-12 years old 2. Primary reducible inguinal hernia 3. Otherwise healthy (ASA 1 and 2) 4. Willingness and ability of caregiver to give informed consent 5. Willingness and ability of child (8 years and above) to give informed assent
Exclusion criteria
Exclusion criteria: 1. Previous surgery for inguinal hernia on the same side (i.e., recurrent hernia) 2. Comorbidity resulting in ASA classification 3 or higher 3. Irreducible/incarcerated hernia requiring emergency intervention 4. Caregiver/child not willing to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Occurrence of any postoperative complication assessed through patient/caregiver interview and physical examination at 2 weeks follow up | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Patient satisfaction, level of pain (according to the Inguinal Pain Questionnaire score from 1-7), and quality of life according to EQ5D, all assessed through patient/caregiver interviews + physical examination by a medical doctor 2 weeks postoperatively 2. Recurrence, chronic pain according to IPQ (same as above), patient satisfaction ("Are you satisfied with the result of the operation"?) and quality of life according to EQ5D assessed through patient /caregiver interview + physical examination by a medical doctor 1 year postoperatively 3. Costs and cost-effectiveness from the provider's perspective expressed as cost in USD per DALY averted at one timepoint | — |
Countries
Uganda
Contacts
Public ContactJenny Löfgren
Outcome results
None listed