Ultrasound detection and closure of contralateral patent processus vaginalis in pediatric patients with unilateral inguinal hernia and hydrocele: a longitudinal study to prove efficacy in avoiding contralateral hernia development

Hernia ◽  
2019 ◽  
Vol 23 (6) ◽  
pp. 1253-1259
Author(s):  
P. K. F. Yip
Keyword(s):  
Inguinal Hernia ◽  
Longitudinal Study ◽  
Pediatric Patients ◽  
Processus Vaginalis ◽  
Patent Processus Vaginalis ◽  
Unilateral Inguinal Hernia ◽  
Contralateral Patent Processus Vaginalis ◽  
Contralateral Hernia

The Role of Laparoscopic Evaluation to Detect a Contralateral Defect at Initial Presentation for Inguinal Hernia Repair

2011 ◽  
Vol 77 (11) ◽  
pp. 1463-1466 ◽  
Author(s):  
John M. Draus ◽  
Sarah Kamel ◽  
Aaron Seims ◽  
Frederick J. Rescorla
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Pediatric Patients ◽  
Initial Presentation ◽  
Occurrence Rate ◽  
Processus Vaginalis ◽  
Patent Processus Vaginalis ◽  
Contralateral Patent Processus Vaginalis ◽  
Laparoscopic Evaluation

Our objective was to determine the accuracy of laparoscopic evaluation to detect a contralateral patent processus vaginalis (CPPV) at initial presentation for inguinal hernia (IH) repair and the rate of CPPV relative to age, sex, and initial hernia side. We performed a 5-year retrospective review of 1580 pediatric patients with unilateral IH in which surgeons selectively used laparoscopy to evaluate for a CPPV. There were 1205 boys and 303 girls; 980 (65%) presented with right IH (RIH) and 528 (35%) with left IH (LIH). Laparoscopic evaluation was performed in 459 (47%) patients presenting with RIH and 225 (43%) patients presenting with LIH. Laparoscopic evaluation was positive for CPPV in 32 per cent of patients with RIH and 42 per cent of patients with LIH ( P = 0.0168). CPPV was associated with prematurity ( P = 0.0003) and age younger than 6 months ( P = 0.0001) but not with sex ( P = 0.55). The future contralateral occurrence rate was 1.6 per cent and recurrence rate 0.2 per cent. This study supports the accuracy of CPPV evaluation by laparoscope Although the rate of CPPV decreases after 6 months of age, girls older than 2 years of age have a significantly higher rate of CPPV than boys, supporting laparoscopic evaluation in older girls.

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

scholarly journals The meaning of laparoscopic procedure against inguinal hernia

2020 ◽  
Author(s):  
Hideaki Sato ◽  
Jyoji Yoshizawa ◽  
Akihide Sugiyama ◽  
Tomokazu Nakagami ◽  
Yu Watarai
Keyword(s):  
Inguinal Hernia ◽  
Laparoscopic Approach ◽  
Oral Intake ◽  
Operation Time ◽  
Surgical Time ◽  
Processus Vaginalis ◽  
Patent Processus Vaginalis ◽  
Postoperative Symptoms ◽  
Contralateral Patent Processus Vaginalis ◽  
Contralateral Hernia

Abstract Background Laparoscopic approach, especially laparoscopic percutaneous extraperitoneal closure (LPEC) for inguinal hernia (IH) is widely spread but few studies have compared its invasiveness with that of conventional approach (POTTS). This study compared the role and invasiveness of LPEC with POTTS at our institute. Material and methods The records of 940 IH patients from 2014 to 2019 were analyzed on the basis of age, sex, method of surgery, pre- and post-operative diagnosis, postoperative symptoms, and complications. Results The POTTS group comprised 393 males, of which 44 were diagnosed with contralateral hernia (7.1%). In the LPEC group, 158 males had an average age of 3.88 years. The contralateral patent processus vaginalis (CPPV) was identified in 148 patients during operation. POTTS operation time for patients aged < 1 year was 42.7 minutes, vs 33.4 minutes for LPEC. The two groups experienced comparable paces of fever and first oral intake time; however, pain and recurrence rate were greater in the LPEC group. Conclusion LPEC can be performed to avoid contralateral recurrences; surgical time is reduced for patients aged < 1 year. However, the reduced invasiveness of LPEC compared to that of POTTS did not minimize postoperative symptoms or complications.

Laparoscopic Evaluation for Contralateral Patent Processus Vaginalis in Children with Unilateral Inguinal Hernia

2006 ◽  
Vol 16 (6) ◽  
pp. 650-653 ◽  
Author(s):  
Patricia A. Valusek ◽  
Troy L. Spilde ◽  
Daniel J. Ostlie ◽  
Shawn D. St. Peter ◽  
Walter M. Morgan III ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Processus Vaginalis ◽  
Patent Processus Vaginalis ◽  
Unilateral Inguinal Hernia ◽  
Contralateral Patent Processus Vaginalis ◽  
Laparoscopic Evaluation
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