This will be a single institution, prospective, randomized controlled trial. Patients presenting as an outpatient for repair of umbilical hernias who meet our inclusion criteria, whose parents provide permission to participate in the study, will receive the umbilical hernia repair that they are randomized to. The appropriate data will be collected on day of surgery, and patients will be followed with a delayed parental submission of incisional photograph.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
2
Traditional curvilinear infra-umbilical incision is used to repair the umbilical hernia
The incision for the repair of the umbilical hernia will be carried through the umbilicus itself.
Children's Mercy Hospital and Clinics
Kansas City, Missouri, United States
Cosmetic Outcome
Cosmetic appearance of incision will be measured using the Pediatric Scar Assessment Questionnaire (PSAQ) filled out by patients and a modified version filled out by an independent assessor .
Time frame: 4 - 6 weeks and 2 years post operation
Operative times
This will evaluate operative time for each procedure in minutes
Time frame: Up to 2 years
Surgical site infections
Assess the rate of surgical site infections in each arm of the study
Time frame: 30 days
Wound complications
Evaluate wound complication including wound breakdown and wound dehiscence
Time frame: 30 days
Recurrence
Recurrence of the umbilical hernia will be calculated as a rate in each arm
Time frame: 2 years
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