Cutting the hernia sac versus reducing it in children's open inguinal hernia repair
Transection Versus Reduction of Hernia Sac in Open Pediatric Inguinal Hernia Repair: A Randomized Controlled Trial Study
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
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 40 (estimated) |
| Ages | 1 Day to 18 Years |
| Sex | Male |
| Sponsor | Mahidol University Academic / other |
| Locations | 1 site (Ratchathewi, Bangkok) |
| Trial ID | NCT07252999 on ClinicalTrials.gov |
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.
Who should consider this trial
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.
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.
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 performed: 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.
Eligibility criteria
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 this trial is running
Ratchathewi, Bangkok
- Ramathibodi hospital — Ratchathewi, Bangkok, Thailand (Recruiting)
Study contacts
- Study coordinator: Piyanuch Lormuangthong, Doctor of medicine
- Email: piyanuch.lor@student.mahidol.ac.th
- Phone: +66873063838
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.