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

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

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.

Sign in / Sign up

Export Citation Format

Share Document