Internal Ring, Laparoscopic Percutaneous Extra-peritoneal Closure, Peritoneal Cauterization
Conditions
Brief summary
This research project aims to evaluate pediatric patients who underwent laparoscopic Percutaneous Internal Ring Suturing (PIRS) for inguinal hernia.
Detailed description
Inguinal hernia repair is the most common procedure performed by pediatric surgery trainees. Open hernia repair (OH) is considered the gold standard approach for children; however, laparoscopic repair (LR) has recently emerged as an alternative option. Laparoscopic percutaneous extraperitoneal closure of internal inguinal ring (Laparoscopic Percutaneous Internal Ring Suturing) (PIRS) is one of the plainest and most dependable operations for pediatric inguinal hernia.
Interventions
PROCEDUREPercutaneous Internal Ring Suturing (PIRS) with peritoneal cauterization
Percutaneous Internal Ring Suturing with peritoneal cauterization at the internal ring.
PROCEDUREPercutaneous Internal Ring Suturing
Percutaneous Internal Ring Suturing (PIRS) without peritoneal cauterization.
Sponsors
Tanta University
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
3 Months to 12 Years
Healthy volunteers
No
Inclusion criteria
* Pediatric patients (3 months to 12 years) with diagnosed inguinal hernia. * Underwent Laparoscopic Percutaneous Internal Ring Suturing (PIRS). * Clear documentation of whether cauterization was performed. * At least 6 months of postoperative follow-up available.
Exclusion criteria
* Recurrent or complicated hernias (incarcerated/strangulated). * Previous abdominal or pelvic surgery. * Missing or incomplete surgical records. * Less than 6 months of follow-up.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of recurrence | 1 year post-procedure | Incidence of recurrence was recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of postoperative complications | 24 hours postoperatively | Incidence of postoperative complications such as seroma, hematoma, hydrocele, and wound infection were recorded. |
| Degree of pain | 24 hours postoperatively | Degree of pain was assessed using Face, Legs, Activity, Cry, Consolability scale (FLACC) in patients \<7 years, or using the visual analog scale (VAS)(0 represents no pain while 10 represents the worst pain imaginable) in patients≥7 years. |
Countries
Egypt
Outcome results
None listed