New Technique for Herniotomy in Children-Clinical Trial

Abstract

Objective: to assessment of hernial sac ligation necessity after its transection in children herniotomy and compare the recurrence and complication rates between two methods of hernial repair in children (the classic method with ligation of the hernial sac and a new method without sac ligation). study design: this is a randomized controlled trial (RCT) Method: A total of 200 children ranging from neonates to 12 years of age, with inguinal hernia were admitted to Emam-Reza Hospital, Kermanshah, Iran between march 2011 and march2012, for elective hernial surgery The patients who were more prone to recurrence; such as patients with incarcerated hernia and increased intra-abdominal pressure were excluded from the study. After exclusion of some patients, 182children included in the study. They were randomly allocated into two groups, a study group (herniotomy without sac ligation) and a control group (herniotomy with sac ligation). Both groups were followed up for a period of 1-1.5 years postoperatively for recurrence or other complications. Results: There was only one case of recurrent hernia in the control group, and none in the study group. There was no statistically significant difference in the rate of recurrence or other complications between the two groups. Conclusions: This study showed that hernial sac ligation after its transection is not necessary in pediatric herniotomy. Omitting ligation did not result in any significant effect on early and late complication.