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| Name | Class |
|---|---|
| Başakşehir Çam & Sakura City Hospital | OTHER_GOV |
| Mardin Training and Research Hospital | UNKNOWN |
| Dicle University | OTHER |
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Inguinal hernia is one of the most common conditions requiring surgical intervention in childhood, with a reported lifetime prevalence of 1-4%. With the increasing use of minimally invasive techniques such as PIRS (Percutaneous Internal Ring Suturing) among laparoscopic surgical procedures, perioperative anesthesia and airway management have become a critical area of clinical decision-making. The traditional approach in pediatric laparoscopic surgery is endotracheal intubation (ETT). Although ETT provides reliable airway control, it carries certain disadvantages. In contrast, the laryngeal mask airway (LMA) is less invasive and is associated with faster recovery. Systematic reviews and meta-analyses conducted in recent years have shown that the LMA may be safe for ventilation in pediatric laparoscopy, reduces peak airway pressure, and shortens recovery time. No well-designed, multicenter study with an adequate sample size comparing the LMA and ETT in pediatric laparoscopic inguinal hernia surgery has yet been conducted. This gap limits evidence-based decision-making in a clinical setting that directly impacts practice. Therefore, the aim of this study is to compare LMA and ETT in pediatric laparoscopic inguinal hernia repair. In this regard, the study is unique and necessary from both clinical and academic perspectives for determining the optimal airway strategy in pediatric laparoscopy.
This study is designed as a multicenter, prospective, randomized controlled clinical trial to compare laryngeal mask airway (LMA) and endotracheal intubation (ETT) in pediatric laparoscopic inguinal hernia repair.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients received general anesthesia, with Laryngeal Mask Airway (LMA) | Active Comparator | Patient group in whom mechanical ventilation is provided via LMA during general anesthesia. |
|
| Patients received general anesthesia, endotracheal entubation | Active Comparator | Patient group in whom mechanical ventilation is provided via endotracheal entubation during general anesthesia. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| General Aneasthesia | Procedure | Laryngeal mask airway (LMA) or endotracheal intubation (ETT) in pediatric laparoscopic inguinal hernia repair |
|
| Measure | Description | Time Frame |
|---|---|---|
| Oxygen Saturation | Patients' oxygen saturation levels will be monitored using peripheral spO2. | perioperative period |
| end-tidal carbondioxide levels | Patients' end-tidal CO2 levels will be monitored using capnography. | perioperative period |
| airway safety | The development and management of complications related to airway safety (such as laryngospasm, bronchospasm, desaturation, and aspiration) in patients will be monitored. | perioperative period |
| Measure | Description | Time Frame |
|---|---|---|
| peak airway pressure | perioperative period | |
| PACU duration | postoperative period |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Fikret Salık, associate professor | Contact | +905076214125 | fikretsalik@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dicle University | Recruiting | Diyarbakır | Eyalet/Yerleşke | 21070 | Turkey (Türkiye) |
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| Label | URL |
|---|---|
| Latest publication about similar work-up | View source |
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all collected IDP
3 months after publication of results
medicine doctors
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| ID | Term |
|---|---|
| D006552 | Hernia, Inguinal |
| ID | Term |
|---|---|
| D046449 | Hernia, Abdominal |
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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