Inguinal Hernia,Laparoscopy,Extra-peritoneal
Conditions
Brief summary
Inguinal hernia is a common disease in children. Treatment of this disease by laparoscopic high ligation of the hernia sac has been accepted by domestic and foreign scholars. Since laparoscopic inguinal hernia was introduced in 1990,it has now become the most commonly performed hernia repair in children. The conventional approach this is done with2small trocars to 1trocar . however the wound complications of infection and pain and the recurrent rate have not been resolved. The aim of the study was to described a new way of extra-peritoneal high ligation of hernia sac. This method combines the single-port laparoscopic could eliminated rate of wound complications and recurrence in inguinal hernia repair in children. The investigators hoped that this study will prove that the extra-peritoneal single-port laparoscopic repair is at least a s effective and efficient as the conventional technique in the cure of inguinal hernia and may results in lower recurrence and reduce incidence of wound complications.
Interventions
PROCEDUREextra-peritoneal high ligation of hernia
PROCEDUREintraabdominal high ligation of hernia
Sponsors
zebing Zheng
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
MALE
Age
6 Months to 13 Years
Healthy volunteers
No
Inclusion criteria
unilateral inguinal herina age between 6 months and 13 years no history of abdominal or inguinal operations of male patients ,only those with completely descended testes were included
Exclusion criteria
the bilateral heina the recurrence herina
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| conversion to intraabdominal high ligation of inguinal hernia | during operation | this study is to determine whether extra-peritoneal single-port laparoscopic repair for inguinal hernia in children is superior to conventional repair approaches. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| operating time | during operation | this assess the time taken to perform the operation and is defined as time from initial skin to complete wound closure |
| length of hospital time | day procedure or overnight stay | this assess how long patient stays in hospital |
| post operative pain scores | preop, day one and day 7 postop | this utlizes the CHEOPS pain score4-7,day 1 and day 7 after surgy |
| recurrence of inguinal herina | 1 year | patients will be assessed at 1 week,6 week and one year to detect presence of recurrence of inguinal herina |
| post-operation complications including wound infection,stitch abscess, spermatic cord injuries,testicular atrophy. | 6 weeks | patients will be seen at 1 week,6 week to assess for any peri-operative complications associated with inguinal herina surgery as enumerated above. |
Countries
China
Contacts
Primary ContactZebing Zheng, MD
Outcome results
None listed