Laparoscopic Percutaneous Extra-peritoneal Closure of the Internal Ring With or Without Peritoneal Cauterization

Tanta University

Status: Completed

Conditions: Peritoneal Cauterization; Internal Ring; Laparoscopic Percutaneous Extra-peritoneal Closure

Treatments: Procedure: Percutaneous Internal Ring Suturing (PIRS) with peritoneal cauterization; Procedure: Percutaneous Internal Ring Suturing

Study type: Observational

Funder types: Other

Identifiers

NCT07102277

REC 713

Details and patient eligibility

About

This research project aims to evaluate pediatric patients who underwent laparoscopic Percutaneous Internal Ring Suturing (PIRS) for inguinal hernia.

Full 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.

Enrollment: 270 patients

Sex: All

Ages: 3 months to 12 years old

Volunteers: No Healthy Volunteers

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.

Trial design

270 participants in 2 patient groups

Group A

Description:

Percutaneous Internal Ring Suturing (PIRS) with peritoneal cauterization at the internal ring.

Treatment:

Procedure: Percutaneous Internal Ring Suturing (PIRS) with peritoneal cauterization

Group B

Description:

Percutaneous Internal Ring Suturing (PIRS) without peritoneal cauterization.

Treatment:

Procedure: Percutaneous Internal Ring Suturing