Fate of patent processus vaginalis: a case against routine contralateral exploration for unilateral inguinal hernia in children

1993 ◽  
Vol 8 (5) ◽  
Author(s):  
Rajendra Surana ◽  
Prem Puri
Keyword(s):  
Inguinal Hernia ◽  
Processus Vaginalis ◽  
Patent Processus Vaginalis ◽  
Contralateral Exploration ◽  
Unilateral Inguinal Hernia ◽  
Inguinal Hernia In Children

Efficacy of Laparoscopic Percutaneous Extraperitoneal Closure for Unilateral Inguinal Hernia in Children and Significance of Simple Exploration Maneuver for Contralateral Patent Processus Vaginalis: A Retrospective Study

2018 ◽  
Vol 84 (5) ◽  
pp. 732-738
Author(s):  
Cheng Kangwen ◽  
Wang Guihe
Keyword(s):  
Inguinal Hernia ◽  
High Ligation ◽  
Processus Vaginalis ◽  
Hernia Sac ◽  
Patent Processus Vaginalis ◽  
Laparoscopic Exploration ◽  
Unilateral Inguinal Hernia ◽  
Contralateral Patent Processus Vaginalis ◽  
Inguinal Hernia In Children

To evaluate the efficacy of laparoscopic percutaneous extraperitoneal closure (LPEC) for unilateral inguinal hernia in children and effect of intraoperative laparoscopic exploration for finding contralateral patent processus vaginalis (CPPV) on prevention of the metachronous contralateral hernia (MCH). We retrospectively analyzed unilateral inguinal hernia ligation in children, which can be diveded into two groups: a total of 252 cases with open surgical ligation from January 2010 to December 2012 (open group), a total of 184 cases underwent laparoscopic percutaneous peritoneal hernia sac high ligation LPEC from January 2013 to March 2015 (LPEC group). Then, we observed postoperative complications, recurrence of hernia, and the postoperative MCH in the two groups and analyzed the influence factors of the MCH. In Open groups and LPEC groups, the complication incidences, respectively, were 4.4 and 1.6 per cent, having statistical difference ( P > 0.05), the average postoperative follow-up duration, respectively, were 42 months and 22 months, whereas the overall incidence of MCH, respectively, were 5.2 and 0.5 per cent ( P < 0.05). In the first 24 months follow-up time, the overall incidence of MCH, respectively, were 3.6 and 0 per cent. Laparoscopic evaluation was positive for CPPV in 67 cases. We found the prevalence of 56.1 per cent of CPPV in LPEC groups aged 0.6 to 2 years old, finding the incidence gradually decline with the increase of age, until 14.3 per cent to 10 to 12 years old group. Our study shows LPEC has proven efficacy in treatment of unilateral inguinal hernia in children, and routine laparoscopic exploration with this simple maneuver should be actively performed to observe CPPV in all chidren.

The risk of developing a symptomatic inguinal hernia in children with an asymptomatic patent processus vaginalis

2017 ◽  
Vol 52 (1) ◽  
pp. 60-64 ◽  
Author(s):  
Katrina L. Weaver ◽  
Ashwini S. Poola ◽  
Joanna L. Gould ◽  
Susan W. Sharp ◽  
Shawn D. St. Peter ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Processus Vaginalis ◽  
Patent Processus Vaginalis ◽  
Inguinal Hernia In Children

Laparoscopic diagnosis of contralateral patent processus vaginalis in children under 1 year of age with unilateral inguinal hernia: Comparison with herniography

1999 ◽  
Vol 34 (8) ◽  
pp. 1213-1215 ◽  
Author(s):  
Emmanuel Van Glabeke ◽  
Abdeslam Khairouni ◽  
Olivier Gall ◽  
Hubert Ducou Le Pointe ◽  
Olivier Jaby ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Processus Vaginalis ◽  
Patent Processus Vaginalis ◽  
Unilateral Inguinal Hernia ◽  
Contralateral Patent Processus Vaginalis
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