Clinical Study of Hernia Ring Closure Method in Laparoscopic Abdominal Wall Hernia Repair
Study Details
Study Description
Brief Summary
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.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Small hernia ring group with continuous suture Continuous suture of hernia ring with barbed wire<3cm |
Procedure: Suture mode
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.
|
Active Comparator: Small hernia ring group with discontinuous full-thickness suture Intermittent full layer suture to close hernia rings<3cm |
Procedure: Suture mode
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.
|
Active Comparator: Large hernia ring group with continuous suture Continuous suture of hernia ring with barbed wire>3cm |
Procedure: Suture mode
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.
|
Active Comparator: Large hernia ring group with discontinuous full-thickness suture Intermittent full layer suture to close hernia rings>3cm |
Procedure: Suture mode
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.
|
Experimental: Large hernia ring group with continuous suture and discontinuous full-thickness suture Continuous suture with barbed thread and discontinuous full-thickness suture to close hernia rings>3cm |
Procedure: Suture mode
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.
|
Outcome Measures
Primary Outcome Measures
- recrudescence [24 months after operation]
Whether abdominal wall hernia recurred within 24 months
Secondary Outcome Measures
- Time to close the hernia ring [during operation]
Time to close the hernia ring during operation
- Bleeding volume [during operation]
Intraoperative bleeding
- Pain level [immediately after the surgery]
Postoperative pain level
- Gastrointestinal recovery time [immediately after the surgery]
Postoperative gastrointestinal recovery time
- Seroma [immediately after the surgery]
Whether there is seroma after operation
- Infected [immediately after the surgery]
Postoperative infection
Eligibility Criteria
Criteria
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.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | The First Affiliated Hospital of Shandong First Medical University (Shandong Qianfo Mountain Hospital) | Jinan | Shandong | China | 250000 |
Sponsors and Collaborators
- Bo Li
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2022006