Ongoing
Groin hernia repair is one of the most common surgeries in children. After unilateral open groin hernia repair, 6-8% of patients develop a second hernia on the contralateral side.

After groin hernia repair, a second hernia can be prevented by the laparoscopic technique because the surgeon can immediately check the other groin during the same operation. Any asymptomatic contra lateral hernia can then be repaired immediately. However, it is currently unclear which treatment (open vs laparoscopic) is best for a groin hernia in children.

HERNIIA-2 trial logo

The aim of the HERNIIA-2 study, which started January 2024, is to investigate the most (cost-) effective way to repair a groin hernia in children between 0-16 years: the open or laparoscopic (PIRS) technique. In this prospective multicenter randomized study, we will randomize 464 children both surgeries and analyse several outcomes.

The primary outcome measure is the total number of re-operations related to groin hernia repair performed in the two years after the primary surgery. Additionally, we will evaluate the difference in complications, quality of life, costs incurred by the patient, and costs for society. The follow up moments will take place at four weeks, one year, and two years via a phone consult by the researcher. If complications have occurred or there are doubts about the presence of complications, the patient and parents will be referred to the outpatient clinic.

Research team