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Laparoscopic Hernia Repair With Lateral Umbilicus Ligament for Children

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The Second People's Hospital of GuangDong Province

キーワード

概要

The role of laparoscopic surgery in pediatric inguinal hernia repair is clear. Laparoscopic hernia repair is especially advantageous for bilateral diseases and minimally invasive technique in children because it avoids vas injury. However, the problem of recurrent rate has not been resolved. The aim of this study was to refine the current criteria used the lateral umbilicus ligament covering the internal hernia opening region, and eliminated recurrence in laparoscopic inguinal hernia (LIH) repair in children. The investigators hypothesized that the lateral umbilicus ligament covering the internal hernia opening region after the laparoscopic purse-string knot would result in lower recurrence and the same operation relative complication

説明

The primary outcome measure was the recurrence rate after surgery, and the secondary outcome measures included degree of postoperative pain, the amount of postoperative analgesia, procedural duration, number of days to recovery normal activity, surgical complications, cosmetic results, and patient satisfaction. The outcome was recorded at the outpatient visits 10 days, 6 months, 1 year, 3 years and 5 years after the surgery. The cosmetic result was scored (unsatisfactory = 0, satisfactory = 1, good = 2, and excellent = 3) by the patients or parents, the attending nurse, and the surgeon (maximum points = 9). The patient satisfaction was scored similarly (unsatisfactory = 0, satisfactory = 1, good = 2, and excellent = 3). The long axis of the testes was measured.

日付

最終確認済み: 12/31/1999
最初に提出された: 09/01/2010
提出された推定登録数: 06/19/2011
最初の投稿: 06/20/2011
最終更新が送信されました: 06/20/2011
最終更新日: 06/21/2011
実際の研究開始日: 12/31/1999
一次完了予定日: 11/30/2010
研究完了予定日: 11/30/2010

状態または病気

Inguinal Hernia

段階

-

アームグループ

介入/治療
group A
the patients were accepted laparoscopic purse-string knot closing the internal hernia opening only
group B
the patients were accepted the lateral umbilicus ligament covering the internal hernia opening region after the laparoscopic purse-string knot

適格基準

研究の対象となる年齢 2 Years に 2 Years
研究に適格な性別All
サンプリング方法Probability Sample
健康なボランティアを受け入れるはい
基準

Inclusion Criteria:

- unilateral inguinal hernia

- age between 2 years and 17 years

- no history of abdominal or inguinal operations

- the age range was based on the day surgery criteria of our hospital

- of male patients, only those with completely descended testes were included

Exclusion Criteria:

- the bilateral hernia

- the recurrence hernia

結果

主な結果の測定

1. recurrence rate [five years]

the inguinal hernia recurrence after operation

二次的な結果の測定

1. number of days to recovery normal activity [one month]

the days to recovery normal activity after surgery

2. degree of postoperative pain [one year]

postoperative pain was recorded on a modified objective pain scale (OPS) from 0 to 9.9. The next morning following discharge, a nurse specialist blinded to the operative approach phoned the families and recorded the level of pain on a scale from 0 to 3 (no pain = 0, mild pain = 1, moderate pain = 2, severe pain = 3)

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