Evidence map›Paper›PMID 41538102›Full record

Trial reportHernia : the journal of hernias and abdominal wall surgery2026

Sutureless versus conventional open herniotomy in children with unilateral inguinal hernia.

Raashid Hamid, Akshat Sudhanshu, Vivek Sharma, Nisar A Bhat, Sabina Nisar

Abstract readRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Hernia : the journal of hernias and abdominal wall surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Raashid HamidDepartment of Paediatric and Neonatal Surgery, Sheri-Kashmir Institute of Medical Science, Department of Paediatric surgery Room No 1108 SKIMS Soura, Srinagar, J&K, 190011, India. drraashidhamid@gmail.com.ORCID http://orcid.org/0000-0002-7630-679X
Akshat SudhanshuDepartment of Paediatric and Neonatal Surgery, Sheri-Kashmir Institute of Medical Science, Department of Paediatric surgery Room No 1108 SKIMS Soura, Srinagar, J&K, 190011, India.
Vivek SharmaDepartment of Paediatric and Neonatal Surgery, Sheri-Kashmir Institute of Medical Science, Department of Paediatric surgery Room No 1108 SKIMS Soura, Srinagar, J&K, 190011, India.
Nisar A BhatDepartment of Paediatric and Neonatal Surgery, Sheri-Kashmir Institute of Medical Science, Department of Paediatric surgery Room No 1108 SKIMS Soura, Srinagar, J&K, 190011, India.
Sabina NisarDepartment of Paediatric and Neonatal Surgery, Sheri-Kashmir Institute of Medical Science, Department of Paediatric surgery Room No 1108 SKIMS Soura, Srinagar, J&K, 190011, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCongenital inguinal hernia (CIH) is a common pediatric condition, with 400,000 to 600,000 children in India undergoing hernia repair annually. Traditional open herniotomy has been the standard treatment, but minimally invasive, sutureless techniques are gaining popularity. This study compares sutureless herniotomy with conventional herniotomy to assess feasibility, operative time, recurrence, and cosmetic outcomes. & MATERIAL &

methodThis prospective, randomized controlled trial was conducted at Sheri Kashmir Institute of Medical Sciences from January 2019 to January 2024. A total of 120 pediatric patients undergoing CIH repair were randomly assigned to Group A (sutureless) and Group B (conventional suturing). In Group A, the hernia sac was divided without peritoneal suturing, while Group B involved suturing and layered closure. Outcomes measured included operative time, recurrence rates, complications, and cosmetic results. Statistical analyses were performed using chi-square and t-tests.

resultsSixty patients in each group were analyzed. Operative time was shorter in Group A (6.79 ± 3.45 min) compared to Group B (10.88 ± 6.57 min), though not statistically significant. Postoperative pain scores were lower in Group A, and no recurrences were observed in either group. Cosmetic outcomes were superior in Group A, with 58 patients rated as excellent, compared to 50 in Group B. Group A also had fewer cases of ischemic testicular atrophy (0% vs. 3.3%).

conclusionSutureless herniotomy is a safe, effective alternative to conventional herniotomy in pediatric CIH repair, offering advantages like reduced operative time, less postoperative pain, and better cosmetic results. Further multi-center studies are recommended for validation.

Indexed as

Hernia, InguinalHerniorrhaphySutureless Surgical ProceduresChildChild, PreschoolFeasibility StudiesFemaleHumansIndiaInfantMaleOperative TimePostoperative ComplicationsPostoperative PainProspective StudiesRecurrenceConventional herniotomyCosmetic outcomesPediatric inguinal herniaPostoperative painSutureless herniotomy

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.