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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Small hernia ring group with continuous suture | Active Comparator | Continuous suture of hernia ring with barbed wire<3cm |
|
| Small hernia ring group with discontinuous full-thickness suture | Active Comparator | Intermittent full layer suture to close hernia rings<3cm |
|
| Large hernia ring group with continuous suture | Active Comparator | Continuous suture of hernia ring with barbed wire>3cm |
|
| Large hernia ring group with discontinuous full-thickness suture | Active Comparator | Intermittent full layer suture to close hernia rings>3cm |
|
| Large hernia ring group with continuous suture and discontinuous full-thickness suture | Experimental | Continuous suture with barbed thread and discontinuous full-thickness suture to close hernia rings>3cm |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Suture mode | Procedure | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| recrudescence | Whether abdominal wall hernia recurred within 24 months | 24 months after operation |
| Measure | Description | Time Frame |
|---|---|---|
| Time to close the hernia ring | Time to close the hernia ring during operation | during operation |
| Bleeding volume | Intraoperative bleeding |
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Inclusion Criteria:
Conform to the diagnostic criteria of abdominal wall hernia;
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of Shandong First Medical University (Shandong Qianfo Mountain Hospital) | Recruiting | Jinan | Shandong | 250000 | China |
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| ID | Term |
|---|---|
| D046449 | Hernia, Abdominal |
| ID | Term |
|---|---|
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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random control trail
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|
| 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 |