UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000063218
Receipt number R000071972
Scientific Title Comparison of clinical outcomes between transumbilical and supraumbilical incisions for camera-port placement in laparoscopic inguinal hernia repair: a randomized controlled trial
Date of disclosure of the study information 2026/10/08
Last modified on 2026/10/08 15:31:19

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Basic information

Public title

A study comparing transumbilical and supraumbilical incisions for camera-port placement in laparoscopic inguinal hernia repair

Acronym

UI-RCT

Scientific Title

Comparison of clinical outcomes between transumbilical and supraumbilical incisions for camera-port placement in laparoscopic inguinal hernia repair: a randomized controlled trial

Scientific Title:Acronym

UI-RCT

Region

Japan


Condition

Condition

Inguinal hernia

Classification by specialty

Surgery in general

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to compare the clinical utility of transumbilical and supraumbilical incisions for camera-port placement in transabdominal preperitoneal repair (TAPP) and to contribute to establishing the optimal surgical technique.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Wound pain at the camera-port insertion site on postoperative day 1 (24 +/- 6 hours after surgery), assessed by the patient using a visual analog scale (VAS), ranging from 0 (no pain) to 10 (worst imaginable pain).

Key secondary outcomes

1. Operative time, defined as the time from the start to the end of surgery.
2. Incidence of surgical site infection (SSI) at 1 week and 1 month after surgery.
3. Quality of life assessed using the EQ-5D-5L before surgery and at 1 month and 1 year after surgery.
4. Cosmetic satisfaction assessed using the Body Image Scale at 1 year after surgery.
5. Incidence of incisional hernia at the camera-port insertion site at 1 year after surgery, assessed by abdominal computed tomography.
6. Wound pain at the camera-port insertion site at 3 hours, 1 week, and 1 month after surgery, assessed using the visual analog scale (VAS), and the number of analgesic doses used.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Transumbilical incision group: During laparoscopic inguinal hernia repair using the transabdominal preperitoneal approach, a skin incision is made within the umbilical depression, and a 10-mm camera port is inserted into the abdominal cavity using an open technique.

Interventions/Control_2

Supraumbilical incision group: During laparoscopic inguinal hernia repair using the transabdominal preperitoneal approach, a transverse skin incision is made above the umbilical depression, and a 10-mm camera port is inserted into the abdominal cavity using an open technique.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients aged 20 years or older.
2. Patients diagnosed with inguinal hernia based on clinical findings or imaging examinations.
3. Patients considered eligible for laparoscopic inguinal hernia repair using the transabdominal preperitoneal approach.
4. Patients who provide written informed consent before enrollment in the study.

Key exclusion criteria

1. Patients with confirmed or strongly suspected infection at the planned incision site or within the abdominal cavity.
2. Patients with recurrent inguinal hernia.
3. Patients with bilateral inguinal hernia.
4. Patients requiring emergency surgery because of incarceration, perforation, or other conditions.
5. Patients with a previous laparotomy scar at or around the umbilicus.
6. Patients with concomitant umbilical hernia.
7. Patients with renal dysfunction requiring dialysis.
8. Patients who are pregnant or may be pregnant.
9. Patients considered unsuitable for participation in this study by the attending physician.

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Hidetaka
Middle name
Last name Kawamura

Organization

Southern Tohoku General Hospital

Division name

Department of Surgery

Zip code

963-8563

Address

7-115 Yatsuyamada, Koriyama, Fukushima 963-8563, Japan

TEL

024-934-5322

Email

hidetaka0716.hk@gmail.com


Public contact

Name of contact person

1st name Hidetaka
Middle name
Last name Kawamura

Organization

Southern Tohoku General Hospital

Division name

Department of Surgery

Zip code

963-8563

Address

7-115 Yatsuyamada, Koriyama, Fukushima 963-8563, Japan

TEL

024-934-5322

Homepage URL


Email

hidetaka0716.hk@gmail.com


Sponsor or person

Institute

Southern Tohoku General Hospital

Institute

Department

Personal name

Hidetaka Kawamura


Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Department of Minimally Invasive Surgical and Medical Oncology, Fukushima Medical University

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee of the Southern Tohoku Research Institute for Neuroscience

Address

7-115 Yatsuyamada, Koriyama, Fukushima 963-8563, Japan

Tel

024-934-5322

Email

rinri@mt.strins.or.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

総合南東北病院(福島県)


Other administrative information

Date of disclosure of the study information

2026 Year 10 Month 08 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD

No

IPD sharing Plan description

There is currently no plan to share de-identified individual participant data.


Progress

Recruitment status

Preinitiation

Date of protocol fixation

2026 Year 09 Month 14 Day

Date of IRB

2026 Year 09 Month 17 Day

Anticipated trial start date

2026 Year 10 Month 15 Day

Last follow-up date

2029 Year 07 Month 31 Day

Date of closure to data entry

2029 Year 08 Month 31 Day

Date trial data considered complete

2029 Year 09 Month 30 Day

Date analysis concluded

2030 Year 07 Month 31 Day


Other

Other related information



Management information

Registered date

2026 Year 10 Month 08 Day

Last modified on

2026 Year 10 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071972