Inguinal hernia, Hernia repair, Contralateral exploration, Metachronous contralateral inguinal hernia, Cost-effectiveness, Infants Dutch: Liesbreuk, Liesbreukherstel, Contralaterale exploratie, Metachrone contralaterale liesbreuk, kosteneffectiviteit, zuigelingen
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Infants aged six months or younger with a primary unilateral inguinal hernia, undergoing open hernia repair
Exclusion criteria
Exclusion criteria: - Children with 1. incarcerated inguinal hernia, who have to be operated urgently, 2. ventricular-peritoneal drain, 3. non-descended testis - Patients who receive bilateral inguinal hernia repair because of increased operation risks (e.g. poor pulmonary condition) - Parents who are not able to understand the nature or consequences of the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Number of infants that undergo a second operation. | — |
Secondary
| Measure | Time frame |
|---|---|
| 2. Total health care costs associated with each strategy. 3. Total number and duration of operation(s), anesthesia time and hospital admission(s). 4. Occurence of complications (wound infection, hematoma/hydrocele, testicular atrophy, apnea or recurrence) related to hernia repair. 5. Health-related quality of life (HRQOL) of the operated infants and their family. | — |
Contacts
Department of Paediatric Surgery, Emma Children’s Hospital, Amsterdam UMC, University of Amsterdam & Vrije Universiteit, Amsterdam