Clinical Study of Hernia Ring Closure Method in Laparoscopic Abdominal Wall Hernia Repair

Study Overview
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Brief Summary
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By comparing the time of closing the hernia ring, the degree of pain, and the recovery of gastrointestinal tract in different groups Intervening, infection, recurrence and medical cost, to find out whether patients with abdominal wall hernia have different hernias It is the best way to close the hernia ring under laparoscopy and provide evidence based medicine. with In the research process of the research group, a database on abdominal wall hernia will be established for the future Further study of hernia has laid a solid foundation.

Official Title
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Clinical Study of Hernia Ring Closure Method in Laparoscopic Abdominal Wall Hernia Repair

Conditions
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Abdominal Wall Hernia

Intervention / Treatment
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* Procedure: Suture mode


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Conform to the diagnostic criteria of abdominal wall hernia; Patients with general physical condition and can tolerate general anesthesia and laparoscopic surgery; ③ After explaining the situation to the patients and their families, they agreed to join the research group. Exclusion Criteria: The diagnostic criteria of abdominal wall hernia were not met; ② Patients who have serious medical diseases and cannot tolerate laparoscopic surgery; ③ Patients with mental illness; ④ The judgment is affected by incomplete data.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: random control trail
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Small hernia ring group with continuous suture<br>Continuous suture of hernia ring with barbed wire<3cm | Procedure: Suture mode<br>* Patients in the small hernia ring group received continuous suture with barbed wire according to simple random method Closure mode, intermittent full layer suture by hernia hook needle.Patients in the large hernia ring group received continuous suture with barbed wire according to simple random method Closure mode, intermittent full layer suture with hernia hook needle, continuous suture with barbed wire+hernia Intermittent full layer crochet suture.<br>|
| Active Comparator: Small hernia ring group with discontinuous full-thickness suture<br>Intermittent full layer suture to close hernia rings<3cm | Procedure: Suture mode<br>* Patients in the small hernia ring group received continuous suture with barbed wire according to simple random method Closure mode, intermittent full layer suture by hernia hook needle.Patients in the large hernia ring group received continuous suture with barbed wire according to simple random method Closure mode, intermittent full layer suture with hernia hook needle, continuous suture with barbed wire+hernia Intermittent full layer crochet suture.<br>|
| Active Comparator: Large hernia ring group with continuous suture<br>Continuous suture of hernia ring with barbed wire>3cm | Procedure: Suture mode<br>* Patients in the small hernia ring group received continuous suture with barbed wire according to simple random method Closure mode, intermittent full layer suture by hernia hook needle.Patients in the large hernia ring group received continuous suture with barbed wire according to simple random method Closure mode, intermittent full layer suture with hernia hook needle, continuous suture with barbed wire+hernia Intermittent full layer crochet suture.<br>|
| Active Comparator: Large hernia ring group with discontinuous full-thickness suture<br>Intermittent full layer suture to close hernia rings>3cm | Procedure: Suture mode<br>* Patients in the small hernia ring group received continuous suture with barbed wire according to simple random method Closure mode, intermittent full layer suture by hernia hook needle.Patients in the large hernia ring group received continuous suture with barbed wire according to simple random method Closure mode, intermittent full layer suture with hernia hook needle, continuous suture with barbed wire+hernia Intermittent full layer crochet suture.<br>|
| Experimental: Large hernia ring group with continuous suture and discontinuous full-thickness suture<br>Continuous suture with barbed thread and discontinuous full-thickness suture to close hernia rings>3cm | Procedure: Suture mode<br>* Patients in the small hernia ring group received continuous suture with barbed wire according to simple random method Closure mode, intermittent full layer suture by hernia hook needle.Patients in the large hernia ring group received continuous suture with barbed wire according to simple random method Closure mode, intermittent full layer suture with hernia hook needle, continuous suture with barbed wire+hernia Intermittent full layer crochet suture.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| recrudescence | Whether abdominal wall hernia recurred within 24 months | 24 months after operation | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time to close the hernia ring | Time to close the hernia ring during operation | during operation | 
| Bleeding volume | Intraoperative bleeding | during operation | 
| Pain level | Postoperative pain level | immediately after the surgery | 
| Gastrointestinal recovery time | Postoperative gastrointestinal recovery time | immediately after the surgery | 
| Seroma | Whether there is seroma after operation | immediately after the surgery | 
| Infected | Postoperative infection | immediately after the surgery |