Laparoscopic evaluation of contralateral patent processus vaginalis in children

American Journal of Surgery
K PellegrinD P Meagher

Abstract

Routine contralateral inguinal exploration following unilateral herniorrhaphy in children remains controversial. Contralateral patent processus vaginalis (PPV) incidence decreases from 80% in young infants to about 20% to 30% in the adult population. However, the incidence of a clinical hernia appearing subsequently following unilateral herniorrhaphy is 6% to 10%. Fifty consecutive children were evaluated by diagnostic laparoscopy (DL) at the time of inguinal herniorrhaphy. The mean age was 3 years. Thirteen of 42 patients (31%) with a symptomatic confirmed hernia had a contralateral PPV by DL. The mean operating time was 48 minutes. The sensitivity was 98% with a specificity of 100%. No child suffered a complication due to DL. We found diagnostic laparoscopy in children with evidence of unilateral inguinal hernia (1) was safe, (2) revealed a 31% incidence of contralateral PPV, and (3) eliminated the need for contralateral exploration in 69%.

References

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Citations

Feb 13, 2002·American Journal of Surgery·D P GeislerT A Broughan
Sep 13, 2014·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·A SarrB A Diagne
Nov 3, 2010·Journal of Pediatric Surgery·Rafik ShalabyMohamad Abdelaziz
Apr 14, 2010·Journal of Pediatric Surgery·Sandesh V ParelkarMitesh Bachani
Nov 5, 1998·Journal of Pediatric Surgery·F Schier
Jul 11, 1998·Journal of Pediatric Surgery·D M MiltenburgM L Brandt
Dec 28, 2016·Pediatric Surgery International·Colin D GauseFizan Abdullah
Apr 8, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J W ParkG W Kang

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