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To Compare the Skin Incision Made by the Electrocautery and Scalpel in Inguinal Hernia Repair

NCT05666973 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60

Last updated 2023-01-10

No results posted yet for this study

Summary

The Groin hernia repair is a commonly performed general surgery procedure in both adults and children with inguinal hernias constituting more than 95% of all groin hernia repairs. Inguinal hernia repair is a commonly performed surgical procedure in our part of the world and is one of the common cause of hospital admission from the emergency or out patient department. Traditionally, surgical skin incisions have been made with surgical scalpel while modern method of making incisions with electrocautery had made it more sharp, precise and less time consuming.

The cases of inguinal hernia are being managed in our center, Tribhuvan University Teaching Hospital. Generally, these patients are seen by the residents and supervised by the faculties in the emergency and in OPD and later if required admitted in the wards. Clinical examination and imaging are done for the diagnosis . Then severity assessment is performed and the management is done accordingly.

The proposed study will be a hospital based comparative study and aims to observe the overview of the surgical management of OPD based day care surgery of inguinal hernia and also to observe whether the surgical incision is being performed with scalpel or electrocautery. The patients fulfilling the inclusion criteria are selected for the study. Sample will be selected by non-probability (convenience) method and study variables will be recorded in proforma. Statistical analysis will be done using SPSS version 23. Results obtained from the study will be reviewed and discussed with published literature.

Conditions

  • Post-operative Pain, Acute

Interventions

PROCEDURE

Open Mesh Hernioplasty

* Steps of surgery: * Injection Ceftriaxone 50 mg/kg iv stat dose will be given pre-operatively * Incision: * Incision given over medial 3/5 and 2.5 cms above and parallel to inguinal ligament extending from pubic tubercle upto 1 cm lateral to mid point of inguinal ligament. * bleeding controlled by forcep coagulation. * Cut the subcutaneous tissues,external oblique aponeurosis opened in layers * Nerve Iliohypogastric \& ilioinguinal will be preserved (by taking aside from the field) * Intra-operative Injection Tramadol(50 mg) and ondansetron(4 mg) iv stat dose given * Sac ligated with Polygalactin 2-0 suture. * Lichtenstein method of repair * Mesh type: large pore polypropylene mesh * Mesh size: 3 x 6 inches(7.5 x 15 cms) * Mesh Fixation: polypropylene 2-0 * External oblique closure * Skin closure: Ethilon 2 - 0 suture

Sponsors & Collaborators

  • Tribhuvan University Teaching Hospital, Institute Of Medicine.

    lead OTHER

Principal Investigators

  • Yogendra Pd Singh, MBBS,MS · Tribhuvan University Teaching Hospital, Institute Of Medicine.

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Model
PARALLEL

Eligibility

Min Age
18 Years
Max Age
80 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2023-01-31
Primary Completion
2023-04-30
Completion
2023-04-30

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT05666973 on ClinicalTrials.gov