Cutting the hernia sac versus reducing it in children's open inguinal hernia repair
Official title: Transection Versus Reduction of Hernia Sac in Open Pediatric Inguinal Hernia Repair: A Randomized Controlled Trial Study
Run by Mahidol University · NCT07252999 · Data updated 2026-11-12
We will test whether cutting the hernia sac (transection) or pushing it back (reduction) leads to better recovery and fewer problems for male children under 18 having open inguinal hernia repair.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 1 Day to 18 Years |
| Sex | Men only |
| Enrollment | 40 (estimated) |
| Sponsor | Mahidol University Academic / other |
| Locations | 1 site (Ratchathewi, Bangkok) |
| Status | Recruiting |
| Started | October 31, 2025 |
| Main results expected | May 31, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | November 28, 2025 |
| Trial ID | NCT07252999 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Male patients under 18 who undergo open inguinal hernia repair by a pediatric surgeon at Ramathibodi Hospital and can commit to six months of clinic or phone follow‑up and consent to participate.
✕Probably not a fit
Preterm infants, patients with strangulated hernia or non‑communicating hydrocele, those who will follow up at another hospital, and those who refuse or withdraw are unlikely to receive benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional comparison enrolls male pediatric patients undergoing open inguinal hernia repair and applies either hernia sac transection or the traditional sac reduction technique. Patients are followed for six months with clinic visits at week 1, month 3, and month 6 or by telephone follow‑up. Outcomes of interest include postoperative complications and hernia recurrence within the six‑month follow‑up period. Patients who are preterm, have strangulated hernia, or have non‑communicating hydrocele are excluded.
Why it matters
Potential benefit: If successful, this could identify a surgical approach that lowers complications or recurrence and improves recovery after pediatric inguinal hernia repair.
How similar studies have gone: While laparoscopic and purse‑string closure techniques have been studied in pediatric hernia repair, direct comparisons of hernia sac transection versus sac reduction in open pediatric repairs are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male pediatric patients under 18 years old * Patients who underwent open inguinal hernia surgery on the affected side by a pediatric surgeon * Patients who had follow-up after inguinal hernia surgery at Ramathibodi Hospital or phone follow-up (Telemed) for 6 months * Patients who agree to participate in the study by signing an informed consent form Exclusion Criteria: * Preterm infants * Inguinal hernia patients with strangulated hernia * Patients with non-communicating hydrocele * Patients who had follow-up at another hospital after inguinal hernia surgery * Patients who refused to participate in the study or withdrawn
Where it's running
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Ramathibodi hospital
Ratchathewi, Bangkok, Thailand Recruiting
Study contacts
- Study coordinator: Piyanuch Lormuangthong, Doctor of medicine
- Email: piyanuch.lor@student.mahidol.ac.th
- Phone: +66873063838
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Single-Port Robotic Suprapubic Hernia Repair for Inguinal Hernias
A new single-port robotic surgery (SPIN procedure) is being tested to repair primary inguinal hernias in adults to see if it works well and feels better for patients.
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Robotic Single-Port Repair of Concomitant Inguinal and Umbilical Hernias
Doctors are testing a new robotic single-port technique to fix both an inguinal hernia and an umbilical hernia at the same time in adults.
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TREPP: A Minimally Invasive Open Approach to Repair Inguinal Hernias
This study tests the trans rectus sheath extra-peritoneal procedure (TREPP) to repair inguinal hernias and see if it reduces pain and recurrence relative to traditional methods.
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Laryngeal mask airway versus endotracheal tube for children having laparoscopic inguinal hernia repair
This trial will test whether using a laryngeal mask airway instead of an endotracheal tube helps children aged 1–10 breathe safely and recover faster during laparoscopic inguinal hernia repair.
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Visually guided TAP block during laparoscopic TAPP inguinal hernia repair
This will test whether giving a TAP nerve block under direct laparoscopic vision during elective TAPP inguinal hernia repair reduces postoperative pain and speeds recovery in adults.
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Robotic minimally invasive repair of inguinal hernias with the DEXTER system
The DEXTER robotic system will be tested in adults having robot-assisted or laparoscopic inguinal hernia repair to see if it performs well across different patients.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.