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

Tanta University270 enrolled

Overview

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

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.

Study Type

OBSERVATIONAL

Enrollment

270

Conditions

Laparoscopic Percutaneous Extra-peritoneal Closure Internal Ring Peritoneal Cauterization

Interventions

Percutaneous Internal Ring Suturing (PIRS) with peritoneal cauterizationPROCEDURE

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

Percutaneous Internal Ring SuturingPROCEDURE

Percutaneous Internal Ring Suturing (PIRS) without peritoneal cauterization.

Eligibility

Sex: ALLMin age: 3 MonthsMax age: 12 Years

Medical Language ↔ Plain English

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.

Locations (1)

Tanta University

Tanta, El-Gharbia, Egypt

Outcomes

Primary Outcomes

Incidence of recurrence

Incidence of recurrence was recorded.

Time frame: 1 year post-procedure

Secondary Outcomes

Incidence of postoperative complications

Incidence of postoperative complications such as seroma, hematoma, hydrocele, and wound infection were recorded.

Time frame: 24 hours postoperatively

Degree of pain

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.

Time frame: 24 hours postoperatively

Data from ClinicalTrials.gov

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