PURPOSE: The effectiveness of laparoscopic diagnosis of contralateral patent processus vaginalis (CPPV) in children with unilateral inguinal hernia was evaluated. METHODS: Ninety-three consecutive children under the age of 1 year were operated on for a unilateral inguinal hernia. A contralateral CPPV was diagnosed by laparoscopy via the inguinal hernia sac before ligation. The laparoscopy results of this technique were correlated with those of herniography or inguinal exploration. RESULTS: Laparoscopy was performed on 88 patients; sensitivity was 71% and specificity 89%. The only complication arising from the procedure was wound infection in two patients. CONCLUSION: This method is a simple, safe, and accurate procedure for selecting children for contralateral surgical exploration.
PURPOSE: The effectiveness of laparoscopic diagnosis of contralateral patent processus vaginalis (CPPV) in children with unilateral inguinal hernia was evaluated. METHODS: Ninety-three consecutive children under the age of 1 year were operated on for a unilateral inguinal hernia. A contralateral CPPV was diagnosed by laparoscopy via the inguinal hernia sac before ligation. The laparoscopy results of this technique were correlated with those of herniography or inguinal exploration. RESULTS: Laparoscopy was performed on 88 patients; sensitivity was 71% and specificity 89%. The only complication arising from the procedure was wound infection in two patients. CONCLUSION: This method is a simple, safe, and accurate procedure for selecting children for contralateral surgical exploration.
Authors: H Kaneda; T Furuya; K Sugito; S Goto; H Kawashima; M Inoue; T Hosoda; T Masuko; K Ohashi; T Ikeda; T Koshinaga; M Hoshino; H Goto Journal: Hernia Date: 2014-11-04 Impact factor: 4.739
Authors: Anindya Niyogi; Arpan S Tahim; William J Sherwood; Diane De Caluwe; Nicholas P Madden; Robin M Abel; Munther J Haddad; Simon A Clarke Journal: Pediatr Surg Int Date: 2010-02-09 Impact factor: 1.827
Authors: M Hoshino; K Sugito; H Kawashima; S Goto; H Kaneda; T Furuya; T Hosoda; T Masuko; K Ohashi; M Inoue; T Ikeda; R Tomita; T Koshinaga Journal: Hernia Date: 2013-05-05 Impact factor: 4.739