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OpenTrials
Completed

NCT Number: NCT07102277

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

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

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Key information

Conditions

Laparoscopic Percutaneous Extra-peritoneal Closure Internal Ring Peritoneal Cauterization

Age range

3 month–12 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Tanta University

Tanta, El-Gharbia, 31527, Egypt

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Percutaneous Internal Ring Suturing (PIRS) with peritoneal cauterization

Procedure

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

Percutaneous Internal Ring Suturing

Procedure

Percutaneous Internal Ring Suturing (PIRS) without peritoneal cauterization.

Primary outcomes

  1. Incidence of recurrence

    Time frame: 1 year post-procedure

    Incidence of recurrence was recorded.

Secondary outcomes

  1. Incidence of postoperative complications

    Time frame: 24 hours postoperatively

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

  2. Degree of pain

    Time frame: 24 hours postoperatively

    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.

Sponsors and collaborators

Lead sponsor

Tanta University

Other

Registry information

Official study title

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

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Aug 3, 2025
Registry last updated
Aug 3, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.