Development of Taxi Teaching for Strangled Inguinal Hernias in Children
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Pediatric Inguinal Hernia. Basic parameters: up to 16 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
Inguinal hernias in children are very common but pose a risk of strangulation, which, if not treated quickly, can lead to life-threatening complications (intestinal obstruction, peritonitis) or functional complications (testicular ischemia). The manual reduction of a strangulated inguinal hernia, known as taxis, is often unfamiliar to the first doctors to see the child, whether they are general practitioners, pediatricians, or emergency physicians, and therefore requires second- or third-line treatment, which prolongs the delay in care and increases the risk of serious complications. The hypothesis is that targeted professional training using mannequins to practice this reduction maneuver for the doctors concerned would reduce the time required for reduction and thus improve the care of these patients. To this end, and in the absence of a dedicated model on the market for medical education through simulation, investigatores are developing a pediatric manikin to train doctors in performing hernia reduction maneuvers. The aim of this study is therefore to compare the care pathway for children with strangulated inguinal hernias before and after training on mannequins for doctors in therapeutic taxis, in order to demonstrate in real life the impact of procedural training through simulation on improving patient care.
Detailed description
The objective is to show that a better understanding of hernia reduction techniques by frontline physicians leads to a reduction in the time taken to reduce strangulated inguinal hernias in children consulting for this reason. Investigators will therefore compare the time taken to reduce the hernia before and after the doctors concerned learned the reduction procedure, in the population of children treated for strangulated inguinal hernias in a pediatric surgery department of the HUGO network (Hôpitaux Universitaire du Grand Ouest - University Hospitals of western France). The study will therefore be divided into two phases: an initial retrospective, multicenter phase covering the period prior to the training of physicians in hernia reduction techniques, followed by a prospective, multicenter phase covering the period after training.
Primary outcome measures
- Hernia reduction time [Time frame: 6 month]
Secondary outcome measures (1)
- Overal success rate of hernia reduction [Time frame: 6 month]
Eligibility criteria
Inclusion criteria
- Any child (pediatric population defined as under 16 years of age) presenting at a university hospital or hospital in western France with a clinical diagnosis of strangulated inguinal hernia
Exclusion criteria
- Refusal to participate in the search for legal representatives
- Differential diagnosis of strangulated inguinal hernia (adenopathy, cord cyst, cryptorchid testicle, unstrangulated hernia)
- Patients and/or parents who do not speak French
- Patients not affiliated with a social security system.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07106515 · 49RC25_0085