Transection Versus Reduction of Hernia Sac in Open Pediatric Inguinal Hernia Repair A Randomized Controlled Trial Study

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