Comparison of Recurrence Rate of 2 Herniotomy Techniques in Children Older Than 2 Years

Study Overview
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Brief Summary
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the study is basically aimed at comparing two techniques of herniotomy by comparing there recurrence rates

Detailed Description
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in this study, the principal investigator will operate upon patients aged between 2 years and 12 years by two techniques. in technique called mitchell banks technique, inguinal canal will not be opened and in Fergusson gross technique, it will be opened

Official Title
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Comparison of Recurrence Rate of Ferguson & Gross Herniotomy With Mitchell Banks Herniotomy in Children Older Than 2 Years

Conditions
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Hernia, Inguinal

Intervention / Treatment
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* Procedure: Herniotomy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All pediatric patients of either gender above age of 2 years and below 14 years of age presenting in pediatric surgery Mayo hospital lahore Exclusion Criteria: sliding hernia strangulated hernia pts with connective tissue disorders pts with undesccended testis patients with hydrocele hernia with internal ring 2cm or more in size

Ages Eligible for Study
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Minimum Age: 2 Years
Maximum Age: 13 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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: Group A will get Mitchell Banks herniotomy done and Group B will get Fergusson Gross Herniotomy done.
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group A<br>Mitchell Banks Herniotomy | Procedure: Herniotomy<br>* In Mitchell Banks Herniotomy, one of investigators will do herniotomy without opening inguinal canal and in Ferguson Gross Herniotomy , one of investigators will do herniotmy by opening inguinal canal.<br>* Other names: Fergusson Gross Herniotomy;|
| Experimental: Group B<br>Fergusson Gross Herniotomy | Procedure: Herniotomy<br>* In Mitchell Banks Herniotomy, one of investigators will do herniotomy without opening inguinal canal and in Ferguson Gross Herniotomy , one of investigators will do herniotmy by opening inguinal canal.<br>* Other names: Fergusson Gross Herniotomy;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| recurrence | Recurrence will be assessed 6 months after the procedure | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| size of incision | length of incision will be noted | upto 6 months, will be noted at the end of every procedure | 
| operation time | total operative time will be noted | upto 6 months, will be noted at the end of every procedure | 
| Intra operative complications | Tearing of processus vaginalis, ilioinguinal nerve injury | upto 6 months, will be noted at the end of every procedure | 
| post-operative complications | Wound Infection b. Scrotal Edema c. Haematoma d. TesticularRetraction | will be noted on follow up at 7 days post op | 
| Testicular Atrophy | testicular atrophy will be noted | 6 months after procedure |