Comparing Hernia Sac Cutting and Reduction Methods in Open Surgery for Boys Under 18 with Inguinal Hernia

What this Trial Is About

This trial focuses on male children under 18 years old who have an inguinal hernia, a condition where abdominal contents push through a weak spot in the groin area due to a persistent opening in the abdominal lining. The study compares two surgical techniques used in open inguinal hernia repair hernia sac transection and hernia sac reduction. Researchers aim to understand which technique leads to better outcomes during a 6-month follow-up period. Participants will undergo open inguinal hernia surgery using either hernia sac transection or hernia sac reduction, both performed under anesthesia by a pediatric surgeon. After surgery, patients will follow standard care procedures including diagnosis, treatment, and monitoring. The study includes follow-up visits at week 1, month 3, and month 6 to assess recovery and surgical outcomes. During the study, participants will be monitored for complications such as reactive hydrocele, scrotal hematoma, hernia recurrence, and testicular atrophy at specified follow-up times. Painkiller requirements will also be tracked during the first week after surgery. Follow-up may occur in person at the hospital or via phone. The total participation duration is 6 months, during which safety and recovery will be carefully evaluated.

Comparison of Outcomes of Hernia Sac Transection and Sac Reduction in Open Pediatric Inguinal Hernia Repair in Ramathibodi Hospital