Comparison of Laryngeal Mask Airway Versus Endotracheal Intubation in Pediatric Laparoscopic Inguinal Hernia Repair: A Multicenter, Prospective, Randomized Controlled Clinical Trial

What this Trial Is About

Researchers are evaluating the use of two different airway management techniques—laryngeal mask airway (LMA) and endotracheal intubation (ETT)—in children undergoing laparoscopic surgery for inguinal hernia repair. This condition is common in childhood and requires surgical intervention, but there is limited evidence comparing these two methods in pediatric laparoscopic procedures. The study is a multicenter, prospective, randomized controlled clinical trial aiming to fill this knowledge gap and guide optimal airway management in this setting. The trial will include 266 pediatric patients aged 1 to 10 years classified as ASA I-II who are scheduled for elective laparoscopic inguinal hernia repair. Participants will be randomly assigned to receive general anesthesia either with LMA or with ETT. Anesthesia protocols will be standardized across centers. The study will monitor perioperative outcomes such as oxygen saturation, carbon dioxide levels, airway safety events, and secondary measures like peak airway pressure and recovery times. During the study, demographic and clinical information will be collected, and patients will be closely observed for airway safety and respiratory parameters throughout the perioperative period. Recovery times and postoperative airway symptoms will also be assessed. The study’s primary outcomes focus on oxygen saturation, end-tidal carbon dioxide levels, and airway safety events during the surgery. Participants will be followed throughout the anesthesia and immediate postoperative recovery phases to compare the two airway management methods.

Comparison of Laryngeal Mask Airway Versus Endotracheal Intubation in Pediatric Laparoscopic Inguinal Hernia Repair: A Multicenter, Prospective, Randomized Controlled Clinical Trial