Percutaneous Internal Ring Suturing Versus Conventional Laparoscopic Repair of Congenital Inguinal Hernia

Alexandria University

Status: Completed

Conditions: Inguinal Hernia Repair; Pediatrics

Treatments: Procedure: Percutaneous internal ring suturing; Procedure: laparoscopic disconnection of the hernia sac

Study type: Interventional

Funder types: Other

Identifiers

NCT06856304

0107373

Details and patient eligibility

About

Background:comparison between percutaneous internal ring suturing vs Conventional Laparoscopic Repair of Congenital Inguinal Hernia in male patients. Methods : this is a prospective randomized study including 109 male patients with 120 CIHs Patients were randomly categorized into two groups. Group A were subjected to laparoscopic disconnection of the hernia sac and narrowing of the internal ring (IR). Group B underwent PIRS. The intended primary outcome was recurrence within 1 year, besides comparing the two techniques regarding operative time, efficacy, safety, cosmetic outcome, and postoperative complications.

Full description

Introduction Since the 1990s laparoscopy has gained popularity in the management of Congenital inguinal hernia (CIH). Several laparoscopic techniques have been described, including laparoscopic disconnection of the hernial sac with narrowing of the internal ring (IIR) which was described to mimic the open technique, and the extraperitoneal approach involves using various types of needles under laparoscopic guidance to percutaneously secure a suture circumferentially around the internal ring, thus obliterating the sac opening. This study compared the short-term outcome of percutaneous internal ring suturing (PIRS) versus laparoscopic disconnection of the hernial sac with narrowing of the internal ring in children.

Materials and Methods: This study included 109 male patients with 120 CIHs during the period from May 2022 to May 2024. Patients were randomly categorized into two groups. Group A were subjected to laparoscopic disconnection of the hernia sac and narrowing of the internal ring (IR). Group B underwent PIRS. The intended primary outcome was recurrence within 1 year, besides comparing the two techniques regarding operative time, efficacy, safety, cosmetic outcome, and postoperative complications.

Enrollment: 109 patients

Sex: Male

Ages: 6 months to 5 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• male patients
• age of 6 month to 5years
• reduciable congenital inguinal hernia either unilateral or bilateral.

Exclusion criteria

• incarcerated CIH
• recurrent CIH
• patients with undescended testis,
• patients with hydrocele,
• patients with chronic comorbidity such as congenital heart disease and severe chest troubles

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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109 participants in 2 patient groups

Group A

Experimental group

Description:

laparoscopic disconnection of the hernia sac and narrowing of the internal ring

Treatment:

Procedure: laparoscopic disconnection of the hernia sac

Group B

Experimental group

Description:

Percautaneous internal ring suturing

Treatment:

Procedure: Percutaneous internal ring suturing