Overview
The goal of this clinical trial is to learn if one of two surgical techniques works better for treating paraumbilical hernias in adult men and women between 18 and 65 years old.
The main questions it aims to answer are:
Does one technique lead to fewer complications after surgery, such as infection or fluid buildup (seroma)?
Does one technique result in less pain or a shorter operating time?
Researchers will compare the ETEP repair group to the SCOLA repair group to see if one method leads to better outcomes for patients.
Participants will:
Be randomly assigned to receive either the ETEP or SCOLA surgical repair.
Have their surgery and recovery tracked by the research team.
Attend follow-up visits for up to six months to check for any complications.
Eligibility
Inclusion Criteria:
- Adults of the age group from 18 to 65 years
- Patients of both genders admittes with the diagnosis of para-umbilical Hernias through the outdoor department, documented on clinical examination by a consultant general surgeon.
Exclusion Criteria:
- Patients with a hernial defect more than 5cm, documented in the perioperative findings
- Patients with complicated hernias, including irreducible and obstructed varieties, documented on clinical findings.
- Patients who require abdominoplasty, opinion given by the operative surgeon.
- Patients with intermediate to high risk of MACE during the surgery, documented on the fitness form filled by the cardiology team.
- Patients with previous midline incision or laparotomy, documented on clinical examination.