| 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 |
A study comparing transumbilical and supraumbilical incisions for camera-port placement in laparoscopic inguinal hernia repair
UI-RCT
Comparison of clinical outcomes between transumbilical and supraumbilical incisions for camera-port placement in laparoscopic inguinal hernia repair: a randomized controlled trial
UI-RCT
| Japan |
Inguinal hernia
| Surgery in general |
Others
NO
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.
Safety,Efficacy
Confirmatory
Explanatory
Not applicable
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).
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.
Interventional
Parallel
Randomized
Individual
Single blind -participants are blinded
Active
NO
NO
Institution is not considered as adjustment factor.
YES
Central registration
2
Treatment
| Maneuver |
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.
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.
| 20 | years-old | <= |
| Not applicable |
Male and Female
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.
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.
200
| 1st name | Hidetaka |
| Middle name | |
| Last name | Kawamura |
Southern Tohoku General Hospital
Department of Surgery
963-8563
7-115 Yatsuyamada, Koriyama, Fukushima 963-8563, Japan
024-934-5322
hidetaka0716.hk@gmail.com
| 1st name | Hidetaka |
| Middle name | |
| Last name | Kawamura |
Southern Tohoku General Hospital
Department of Surgery
963-8563
7-115 Yatsuyamada, Koriyama, Fukushima 963-8563, Japan
024-934-5322
hidetaka0716.hk@gmail.com
Southern Tohoku General Hospital
Hidetaka Kawamura
None
Self funding
Japan
Department of Minimally Invasive Surgical and Medical Oncology, Fukushima Medical University
Ethics Committee of the Southern Tohoku Research Institute for Neuroscience
7-115 Yatsuyamada, Koriyama, Fukushima 963-8563, Japan
024-934-5322
rinri@mt.strins.or.jp
NO
総合南東北病院(福島県)
| 2026 | Year | 10 | Month | 08 | Day |
Unpublished
No
There is currently no plan to share de-identified individual participant data.
Preinitiation
| 2026 | Year | 09 | Month | 14 | Day |
| 2026 | Year | 09 | Month | 17 | Day |
| 2026 | Year | 10 | Month | 15 | Day |
| 2029 | Year | 07 | Month | 31 | Day |
| 2029 | Year | 08 | Month | 31 | Day |
| 2029 | Year | 09 | Month | 30 | Day |
| 2030 | Year | 07 | Month | 31 | Day |
| 2026 | Year | 10 | Month | 08 | Day |
| 2026 | Year | 10 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071972